Reginald Douglas Duling, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD00022124 Issued in WA

Practice address

407 14TH Ave SE
Puyallup, WA 98372-3770

Phone

(253) 848-6661

Fax

(253) 770-5990

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Evergreen Emergency Services, PS

  • Emergency Medicine Physician
  • Kirkland, WA
  • NPI 1619912524
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248652800000",
    "number": "1477598217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 BROOKMONTE DR SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983725192",
            "telephone_number": "253-841-1281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 14TH AVE SE",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723770",
            "telephone_number": "253-848-6661",
            "fax_number": "253-770-5990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DULING",
        "first_name": "REGINALD",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WA",
            "license": "MD00022124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8227365",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Drury
• Cassandra Nichole Drysdale, RN
• Eric David Duarte, OT
• Louisa Mae Dubois, PHARM D
• William Sterling Duke, MD
• Candi Le Duncan, MP
• Melanie Lynn Duncan, LDO
• Sean Paul Duncan, M.A.
• Stephen F. Duncan, M.D.
• Andrea E. Dunn, P.A.

• Emergency Medicine Physician in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Emergency Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.

Verify at the official NPI Registry.