Individual provider Active NPI

Aaron W Douyard, DC

  • Chiropractor
  • Gloucester, MA
National Provider Identifier
1245981349
Registry record updated Jan 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3761 Issued in MA
Practice address
9G Dr Osman Babson Rd
Gloucester, MA 01930-1812
Phone
(978) 282-7400
Fax
(978) 282-9573
NPI assigned
Jan 11, 2022
Reactivated
Jan 26, 2022
Last updated
Jan 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3761 MA Primary

Addresses

Primary practice location

9G Dr Osman Babson Rd
Gloucester, MA 01930-1812

Mailing address

9G Dr Osman Babson Rd
Gloucester, MA 01930-1812
Phone (978) 282-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220207002391 MA Practitioner - Chiropractic 7810380292
I20260220000902 FL Practitioner - Chiropractic 7810380292 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2021
Medicare assignment
May accept Medicare assignment
Group practices
MHN Chiropractic LLCGroup PAC ID 9739600461, 2 clinicians

Practice addresses (Care Compare)

42040 Cypress Pkwy
Suite 2
Punta Gorda, FL 33982-5156
Phone (941) 337-8133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3761MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Douyard Chiropractic LLC Chiropractor CurrentSince Jan 18, 2022 Accepting new patients
MHN Chiropractic LLC Chiropractor CurrentSince Mar 2, 2026 Accepting new patients

Locations

42040 Cypress Pkwy
Unit 2
Punta Gorda, FL 33982
Phone (715) 297-5235

9G Dr Osman Babson Rd
Gloucester, MA 01930
Phone (978) 282-7400

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1245981349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9G DR OSMAN BABSON RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301812",
            "telephone_number": "978-282-7400",
            "fax_number": "978-282-9573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9G DR OSMAN BABSON RD",
            "city": "GLOUCESTER",
            "state": "MA",
            "postal_code": "019301812",
            "telephone_number": "978-282-7400",
            "fax_number": "978-282-9573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUYARD",
        "first_name": "AARON",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "deactivation_date": "2022-01-13",
        "reactivation_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.