William Ladell Douglas, MD

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

R4535 Issued in AR

Practice address

100 E 20TH St
Suite B
Hope, AR 71801-8213

Phone

(870) 777-2100

Fax

(870) 777-4851

NPI assigned

Jul 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• W Ladell Douglas MD LTD

  • Pediatric Adolescent Medicine Physician
  • Hope, AR
  • NPI 1316627110
  NPD Authorized official

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285654285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E 20TH ST",
            "address_2": "SUITE B",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018213",
            "telephone_number": "870-777-2100",
            "fax_number": "870-777-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E 20TH ST",
            "address_2": "SUITE B",
            "city": "HOPE",
            "state": "AR",
            "postal_code": "718018213",
            "telephone_number": "870-777-2100",
            "fax_number": "870-777-4851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "WILLIAM",
        "middle_name": "LADELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "AR",
            "license": "R4535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Davis
• Dean S. Butler Hope Physical Therapy Center
• Jessica Renee Dearinger, CASE MANAGER
• Tamara Deloach
• Laura R Douglas, D.C.
• Dr. Lester Sitzes III
• Angela Kelli Durham, RN
• Kristen Edwards
• Constance Elizabeth Ellis
• Emergency Staffing Solutions Northeast Inc

• Pediatric Adolescent Medicine Physician in Hope, AR
• Providers in Hope, AR by specialty
• Pediatric Adolescent Medicine Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.