Douglas M Iddings PC

Primary specialty

Surgical Oncology PhysicianTaxonomy code 2086X0206X

License

5101014246 Issued in MI

Legal business name

DOUGLAS M IDDINGS PC

Practice address

302 Kensington Ave
Flint, MI 48503-2044

Phone

(810) 762-8092

Fax

(810) 762-8892

NPI assigned

Jul 28, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Iddings, D.O.

Title

D.O.

Phone

(810) 762-8092

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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

• Masoud Akbari, DO

  • Student in an Organized Health Care Education/Training Program
  • Flint, MI
  • NPI 1881270593
  NPD (past)
• Allison Joy Springstead, MD

  • Surgery Physician
  • Ypsilanti, MI
  • NPI 1427411586
  NPD (past)
• Sarina Bains

  • Surgery Physician
  • Marlboro, NJ
  • NPI 1982047767
  NPD (past)
• Taha Qaraqe, MD

  • Student in an Organized Health Care Education/Training Program
  • Philadelphia, PA
  • NPI 1154001808
  NPD (past)

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1356572135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8092",
            "fax_number": "810-762-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 KENSINGTON AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485032044",
            "telephone_number": "810-762-8092",
            "fax_number": "810-762-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS M IDDINGS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-28",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "IDDINGS",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "D.O.",
        "authorized_official_telephone_number": "810-762-8092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Surgical Oncology",
            "state": "MI",
            "license": "5101014246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Dortman
• Jennifer J Dosh
• Kenyetta Velores Dotson, BAS
• Susan L Doty, DDS MS
• David Aaron Doubblestein, PT
• Jacqulyn Douglas
• Jessica Lynn Douglas, PA-C
• Julia Mae Douglas, PTA
• Tia Douglas, SST
• Maureen Douglass, OTR

• Surgical Oncology Physician in Flint, MI
• Providers in Flint, MI by specialty
• Surgical Oncology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.