Douglas P Wornell, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD00034867 Issued in WA

Practice address

3309 56TH St
Ste 106
Gig Harbor, WA 98335-8580

Phone

(253) 804-8259

Fax

(253) 804-8258

NPI assigned

Sep 30, 2006

Last updated

Aug 29, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of Miami, LM Miller School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Multicare Health System

  dba MultiCare Behavioral Health Inpatient Services - Auburn

  • Psychiatric Hospital Unit
  • Auburn, WA
  • NPI 1770579534
  NPD (past)

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

{
    "created_epoch": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1447343850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "SUMNER",
            "state": "WA",
            "postal_code": "983900140",
            "telephone_number": "206-387-2469",
            "fax_number": "877-682-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3309 56TH ST",
            "address_2": "STE 106",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983358580",
            "telephone_number": "253-804-8259",
            "fax_number": "253-804-8258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORNELL",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-30",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WA",
            "license": "MD00034867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101419",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE RIDER NUMBER",
            "identifier": "WO9746",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Woo, OT
• Alexandra Michelle Wood
• Kristen Ann Wood, RPH
• Zavara N Woods, SUDP
• Danielle Marie Woodworth
• Wren & Raven
• Alison Packwood Wright, MD
• Allison Wright, DPT
• James Allen Wright, LMP
• Tegan Maho Wrobel, LMP

• Psychiatry Physician in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.