Doug S Clouse MD PLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

DOUG S CLOUSE MD PLC

Doing business as

Orthopedic and Sports Performance Institute

Practice address

20715 E Ocotillo Rd Ste 102
Queen Creek, AZ 85142-6118

Phone

(480) 899-4333

Fax

(480) 899-7219

NPI assigned

May 29, 2020

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Steven Clouse, MD

Title

MD/Owner

Phone

(480) 899-4333

Specialties & licenses 1

Addresses

Other names 1

• Orthopedic and Sports Performance Institute Doing business as

Locations

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

{
    "created_epoch": "1590710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1396369088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 S GILBERT RD STE 109",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861594",
            "telephone_number": "480-899-4333",
            "fax_number": "480-899-7219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20715 E OCOTILLO RD STE 102",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426118",
            "telephone_number": "480-899-4333",
            "fax_number": "480-899-7219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUG S CLOUSE MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-29",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "CLOUSE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "480-899-4333",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopedic and Sports Performance Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopedic and Sports Performance Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eric Chapman Dollar, O.D.
• Amanda Donnell
• Jessica Lynn Donnelly, PHD., BCBA-D, LBA
• Jill Ann Dorenbush, MA, LPC
• Joshua Dorris, DMD
• Douglas B Hunt PC
• Ducray Wellness, LLC
• Tyler Bianca Duford, DDS
• Stacie Dunn
• Margaret A Dusold

• Specialist in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.