Active NPI
Douglas G Bushell, DO
- Emergency Medical Services (Emergency Medicine) Physician
- Williamsville, NY
National Provider Identifier
1619916236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 3983
- Practice address
- 6245 Sheridan Dr
Suite 212
Williamsville, NY 14221-4834 - Phone
- (716) 204-4500
- Fax
- (716) 204-4500
- NPI assigned
- Jun 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 3983 | AZ | Primary |
Addresses
Primary practice location
6245 Sheridan Dr
Suite 212
Williamsville, NY 14221-4834
Mailing address
2532 Monarch Bay Dr
Las Vegas, NV 89128-6883
Phone (702) 328-7235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1128 | NV | MD | Occupational Therapy Assistant |
| 3983 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians Professional Association LTD | Emergency Medicine | Past | Accepting new patients |
| Webster Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Coyote Creek Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
| Hualapai Emergency Physician Partners PLLC | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
| Emcare Physician Providers Inc | Emergency Medicine | Past | Accepting new patients |
| Nopah Vista Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Exigence Arizona LLC | Emergency Medical Services | Past | Accepting new patients |
| Openloop Healthcare Partners California PC | Past | Accepting new patients | |
| Buffalo Emergency Associates LLP | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medicine Physician
- Bullhead City, AZ
- NPI 1811153794
-
- Emergency Medicine Physician
- Mesquite, NV
- NPI 1558310797
-
- Emergency Medicine Physician
- Parker, AZ
- NPI 1821048927
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bullhead City, AZ
- NPI 1558311506
-
- Emergency Medicine Physician
- Kingman, AZ
- NPI 1881827806
-
- Emergency Medicine Physician
- Pahrump, NV
- NPI 1396794095
-
- General Practice Physician
- Palm Desert, CA
- NPI 1659042331
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1851339998
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619916236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2532 MONARCH BAY DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286883",
"telephone_number": "702-328-7235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6245 SHERIDAN DR",
"address_2": "SUITE 212",
"city": "WILLIAMSVILLE",
"state": "NY",
"postal_code": "142214834",
"telephone_number": "716-204-4500",
"fax_number": "716-204-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSHELL",
"first_name": "DOUGLAS",
"middle_name": "G",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "AZ",
"license": "3983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsville, NY
Sources for this page
- 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.