Active NPI
Douglas D Pritchard, M.D.
- Pain Medicine (Anesthesiology) Physician
- Statesville, NC
National Provider Identifier
1528092947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 18045
- Practice address
- 610 Signal Hill Drive Ext
Suite 100
Statesville, NC 28625-4337 - Phone
- (704) 818-0480
- Fax
- (704) 818-0490
- NPI assigned
- Jul 10, 2006
- Last updated
- May 20, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 18045 | NC | Primary |
| Pain Clinic/Center | 261QP3300X | 18045 | NC |
Addresses
Primary practice location
610 Signal Hill Drive Ext
Suite 100
Statesville, NC 28625-4337
Mailing address
PO Box 63214
Charlotte, NC 28263-3214
Phone (704) 818-0480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070626000826 | NC | Practitioner - Anesthesiology | 9537268859 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 2
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.
-
- Pain Clinic/Center
- Statesville, NC
- NPI 1477758597
-
- Pain Clinic/Center
- Statesville, NC
- NPI 1063556728
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1528092947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63214",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633214",
"telephone_number": "704-818-0480",
"fax_number": "704-818-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 SIGNAL HILL DRIVE EXT",
"address_2": "SUITE 100",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254337",
"telephone_number": "704-818-0480",
"fax_number": "704-818-0490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHARD",
"first_name": "DOUGLAS",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NC",
"license": "18045",
"primary": true
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NC",
"license": "18045",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
- Jessica Trivette Prevette, FNP-C
- Gerri J Price, C.F.O.M., C.PED.
- James B Price Jr., PH.D., C.P.O.
- James Lamar Price, RPH
- Prime Care Medical Transportation, LLC
- Prohealth Counseling Services LLC
- Phoebe Ireland Pruneda, LCSW-A
- Publix North Carolina LP (Publix Pharmacy #1539)
- Amanda Marie Pugh
- Meredith Pulliam, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.