Douglas a Dunlap, DO, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

34-00-3463-D Issued in OH

Legal business name

DOUGLAS A DUNLAP, DO, INC

Practice address

667 Eastland Ave SE
Warren, OH 44484-4503

Phone

(330) 841-4000

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Robin P Dunlap

Title

Office Manager

Phone

(330) 856-8109

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas Allen Dunlap, D.O.

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1215921358
  Medicare reassignment
• Ismail Umar Husain, DO

  • Internal Medicine Physician
  • Warren, OH
  • NPI 1497115059
  Medicare reassignment

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1265505655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HIDDEN LAKES DR NE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844154",
            "telephone_number": "330-856-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 EASTLAND AVE SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844503",
            "telephone_number": "330-841-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS A DUNLAP, DO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "DUNLAP",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-856-8109"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "34-00-3463-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0652137",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPORATE NPI",
            "identifier": "1265505655",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "34-00-3463-D",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimikko Shardae Dorsey
• Loretta Dorsey
• Mykayla Arlene Dorsey
• Olivia Dotson
• Julie Double, PT
• Douglas Family Eyecare, Inc.
• Chad James Douglas, O.D.
• Diana Marie Douglas, O.D.
• Samantha Douglas, CDCA-P
• Donald L Downing, DPT

• Internal Medicine Physician in Warren, OH
• Providers in Warren, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.