Harold O Douglass Jr., M.D.

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

082665 Issued in NY

Practice address

72 Andover LN
Williamsville, NY 14221-3309

Phone

(716) 633-2796

NPI assigned

Feb 8, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

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

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360281600000",
    "number": "1316286404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 ANDOVER LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213309",
            "telephone_number": "716-633-2796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 ANDOVER LN",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213309",
            "telephone_number": "716-633-2796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "HAROLD",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NY",
            "license": "082665",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "082665",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David John Dormandy Jr., D.O
• Jack William Dormer, PA
• Penny Dortch, LPN
• David R Dougherty, DO
• Jacquelyn M Dougherty, OD
• Therese Dowd, LPN
• Anne Marie Downey, OD
• Angela R Downing, M.S.
• Mary Ann Downing, LPN
• Madeline Doyle, LPN

• Surgical Oncology Physician in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Surgical Oncology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.