Anthony Patrick Douthit, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16942 Issued in TX

Practice address

1283 Record Crossing Rd
Dallas, TX 75235-6001

Phone

(214) 941-1050

NPI assigned

Sep 20, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Texas Native Health

  • Federally Qualified Health Center (FQHC)
  • Dallas, TX
  • NPI 1710108923
  Medicare reassignment

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1285412130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 MAGNOLIA DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750074852",
            "telephone_number": "972-979-6697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 RECORD CROSSING RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752356001",
            "telephone_number": "214-941-1050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9780 Lyndon B Johnson Fwy",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752436838",
            "country_code": "US",
            "telephone_number": "469-317-0028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOUTHIT",
        "first_name": "ANTHONY",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massandje Mama Doukoure, RN
• Moustapha Doulaye Seydou, SA-C
• Valentina Doumanian, MD
• George Doumat Kouja Makhoul, MD
• Linda Kay Douning Olivo, MD
• Elizabeth Ann Douville, MD
• Marita Dove
• Bobby Carl Dow Jr., MD
• Samantha Dow, DPT
• Delaney Dowd, MD

• Physician Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.