J. Todd Douglas, MD, PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34188 Issued in KY

Legal business name

J. TODD DOUGLAS, MD, PSC

Practice address

205 E Ohio St
Morgantown, KY 42261-7944

Phone

(270) 526-2772

Fax

(270) 526-6323

NPI assigned

Aug 23, 2006

Last updated

Jan 18, 2012By 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

Dr. James Todd Douglas, MD

Title

President/Owner

Phone

(270) 526-2772

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Marvin Staples, ARNP

  • Family Nurse Practitioner
  • Auburn, KY
  • NPI 1386751709
  NPD (past)
• Stacia Ashley Staples, ARNP

  • Family Nurse Practitioner
  • Auburn, KY
  • NPI 1851549422
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326844800000",
    "number": "1427165869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1367",
            "address_2": "205 EAST OHIO ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422611367",
            "telephone_number": "270-526-2772",
            "fax_number": "270-526-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E OHIO ST",
            "city": "MORGANTOWN",
            "state": "KY",
            "postal_code": "422617944",
            "telephone_number": "270-526-2772",
            "fax_number": "270-526-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. TODD DOUGLAS, MD, PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2012-01-18",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "270-526-2772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "7100116510",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34188",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64341886",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65903239",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tara Hewitt, APRN, DNP, FNP-BC
• HQM of Morgantown, LLC (Morgantown Care & Rehabilitation Center)
• Jerrica Hubbard
• Cheryl Hudson, ADULT CASE MANAGER
• Shira Beth Hughes, APRN
• Jackson Chiropractic, PLLC
• Joseph Ryan Jackson, D.C.
• John Mark Jennings, LCSW, BCD
• Jessica Danielle Johnson, APRN
• Nolan Johnson

• Family Medicine Physician in Morgantown, KY
• Providers in Morgantown, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2012; 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.