Douglas C Cline, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA59582 Issued in NJ

Practice address

104 Main St
Douglas C Cline, M.D., P.C.
Queensbury, NY 12804-4055

Phone

(518) 223-0812

Fax

(518) 223-0813

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 1, 2013 through Sep 1, 2027

Specialty

Pain ManagementAlso: Family Practice

Education

Temple University School of Medicine, 1986

Medicare assignment

May accept Medicare assignment

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 and National Provider Directory roles.

• Douglas C. Cline, M.D., P.C.

  • Family Medicine Physician
  • Queensbury, NY
  • NPI 1487972923
  NPD (past) Authorized official

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1619934858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "address_2": "DOUGLAS C CLINE, M.D., P.C.",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044055",
            "telephone_number": "518-223-0812",
            "fax_number": "518-223-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MAIN ST",
            "address_2": "DOUGLAS C CLINE, M.D., P.C.",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128044055",
            "telephone_number": "518-223-0812",
            "fax_number": "518-223-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLINE",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA59582",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA059582",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "231033",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5569702",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lily Christy, PT, DPT
• Anthony Cirelli, HIS
• Tammy Lee Cirillo, RDH
• Marykathleen Classey
• Ryan David Clemons, PHARMD, RPH
• Laura J Cloke, D.D.S.
• Lisa Megan Cohen
• Vance Cohen
• Jennifer Cole
• Lynn Collette-Zachar, N.P.

• Specialist in Queensbury, NY
• Providers in Queensbury, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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; Opt Out Affidavits.
• 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.