Active NPI
Douglas William Shearer, MD
- Family Medicine Physician
- Sunnyside, WA
National Provider Identifier
1376613034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00013930
- Practice address
- 803 E Lincoln Ave
Sunnyside, WA 98944-2383 - Phone
- (509) 837-6911
- Fax
- (509) 837-6920
- NPI assigned
- Nov 9, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00013930 | WA | Primary |
Addresses
Primary practice location
803 E Lincoln Ave
Sunnyside, WA 98944-2383
Mailing address
PO Box 577
Sunnyside, WA 98944-0577
Phone (509) 837-6911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8523334 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00013930 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254096000000",
"number": "1376613034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 577",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989440577",
"telephone_number": "509-837-6911",
"fax_number": "509-837-6920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 E LINCOLN AVE",
"city": "SUNNYSIDE",
"state": "WA",
"postal_code": "989442383",
"telephone_number": "509-837-6911",
"fax_number": "509-837-6920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEARER",
"first_name": "DOUGLAS",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-09",
"last_updated": "2009-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00013930",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8523334",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sunnyside, WA
- Johnnie Saucedo
- School Dist #201 (Sunnyside School District #201)
- Randall J. Schuler, D.D.S.,M.S.
- Parker John Schumacher, RD, RDN
- Manisha Jay Shah, MD
- Hugh Shiels, MD
- David W. Shoemaker Jr., M.D.
- Manavjot Singh Sidhu, MD
- Gregory Alan Simmerman, CCC AUDIOLOGIST
- Sleep Medical Center of Tri-Cities, LLC (Silent Sleep Centers)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.