Douglas P Norman, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

M3407 Issued in ID

Practice address

755 Hospital Way
Suite A4
Pocatello, ID 83201-2717

Phone

(208) 233-8770

Fax

(208) 233-2946

NPI assigned

Jun 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568499226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HOSPITAL WAY",
            "address_2": "SUITE A4",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012717",
            "telephone_number": "208-233-8770",
            "fax_number": "208-233-2946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HOSPITAL WAY",
            "address_2": "SUITE A4",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832012717",
            "telephone_number": "208-233-8770",
            "fax_number": "208-233-2946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORMAN",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M3407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Dale Nielsen, D.O.
• Marley Rae Nielson, PHYSICIAN ASSISTANT
• Chidimma Njoku
• Nobility Behavioral Health LLC (Nobility Better Health)
• James T. Noesen
• North Light Eyecare PLLC
• Northland Hearing Centers, Inc. (All American Hearing Aids)
• Northstar Anesthesia of Idaho PLLC
• Norton & Norton LLC (Hillcrest Haven Convalescent Center)
• Janice Noyes

• Specialist in Pocatello, ID
• Providers in Pocatello, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.