Individual provider Active NPI

Douglas Jon Hamsher, PA-C

  • Medical Physician Assistant
  • St Michaels, MD
National Provider Identifier
1225200025
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
C03779 Issued in MD
Practice address
933 S Talbot St Ste 4
St Michaels, MD 21663-2605
Phone
(410) 745-0200
Fax
(833) 908-2281
NPI assigned
Apr 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA051417 PA
Medical Physician Assistant 363AM0700X C03779 MD Primary

Addresses

Primary practice location

933 S Talbot St Ste 4
St Michaels, MD 21663-2605

Mailing address

933 S Talbot St Ste 4
St Michaels, MD 21663-2605
Phone (410) 745-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081022000437 MD Practitioner - Physician Assistant 4183782022 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C03779MDMDMedical Physician Assistant
MA051417PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choptank Community Health System Inc CurrentSince Jul 21, 2010 Accepting new patients
Choptank Community Health System Inc CurrentSince Jul 21, 2010 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

503 Muir St
Ste A
Cambridge, MD 21613
Phone (410) 228-4045

933 S Talbot St
Ste 4
St Michaels, MD 21663
Phone (410) 745-0200

Interoperability endpoints

  • Direct secure messaging: douglas.hamsher.1@20853.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1225200025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "833-908-2281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 S TALBOT ST STE 4",
            "city": "ST MICHAELS",
            "state": "MD",
            "postal_code": "216632605",
            "telephone_number": "410-745-0200",
            "fax_number": "833-908-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMSHER",
        "first_name": "DOUGLAS",
        "middle_name": "JON",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-01",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051417",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C03779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Michaels, MD

Sources for this page

Verify at the official NPI Registry.