Doug Eitel MD, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

21057 Issued in WV

Legal business name

DOUG EITEL MD, PLLC

Practice address

206 Skylar Dr
Lewisburg, WV 24901-9383

Phone

(719) 776-0933

Fax

(866) 810-8976

NPI assigned

Nov 4, 2015

Last updated

Nov 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Ray Eitel, MDNPI 1275598989

Title

Owner

Phone

(719) 776-0933

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Ray Eitel, MD

  • Psychiatry Physician
  • Blacksburg, VA
  • NPI 1275598989
  NPD (past) Authorized official

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1255704946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 147",
            "city": "ALDERSON",
            "state": "WV",
            "postal_code": "249100147",
            "telephone_number": "719-776-0933",
            "fax_number": "866-810-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 SKYLAR DR",
            "city": "LEWISBURG",
            "state": "WV",
            "postal_code": "249019383",
            "telephone_number": "719-776-0933",
            "fax_number": "866-810-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG EITEL MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "EITEL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "RAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-776-0933",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "21057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Frances Doering
• Teresa Dolin, LMT
• Jennifer N Dorsey, LPN
• Samantha Lynn Dorsey
• Melissa M Dotson
• Jillian Leigh Douglas, D.O.
• Amanda Jean Dowdy, LMT
• Dr K F Harrington & Associates Optomertists Professional Corporation
• Amelia D Dunbar, RN
• Bonnie Dunlap

• Psychiatry Physician in Lewisburg, WV
• Providers in Lewisburg, WV by specialty
• Psychiatry Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.