Donald G Douglas, MD
Individual provider Active NPI Diagnostic Radiology Physician · Park Rapids, MN
NPI 1366499675 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1366499675
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- 24647 (MN)
- Practice address
- 705 Pleasant Ave S
Park Rapids, MN 56470-1440 - Phone
- (218) 732-2800
- Fax
- (218) 732-2857
- NPI assigned
- May 30, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24647 | MN | MD | Diagnostic Radiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 24647 | MN | Yes |
Addresses
Primary practice location
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Mailing address
705 Pleasant Ave S
Park Rapids, MN 56470-1440
Phone (218) 732-2800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12915 | Other | MN | NDBS # |
| 5154 | Other | MN | SIOUX VALLEY # |
| HP25735 | Other | MN | HEALTHPARTNERS # |
| 126482 | Other | MN | UCARE # |
| 18686 | Medicaid | MN | |
| 765067 | Other | MN | AMERICA'S PPO/ARAZ # |
| 8T818DO | Other | MN | MNBS # |
| 13026 | Other | MN | NDBS # |
| FS9041015681 | Other | MN | PREFERRED ONE # |
| 1600863 | Other | MN | MEDICA # |
| MN200003 | Other | MN | LHS/BANNERHEALTH # |
Other providers in Park Rapids, MN
- David E Andersen DDS PA
- Marnie Davis
- Robb Dent
- Mindy C Dewinter
- Ranae Doll
- Enlightenment Psychiatry LLC
- Michael E Erickson
- Vern Erickson
- Deborah Jeanne Farrell
- FCSL Park Rapids, LLC
All providers in Park Rapids, MN · Diagnostic Radiology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.