Douglas D Child, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

170121-1205 Issued in UT

Practice address

1151 E 3900 S
B150
Salt Lake City, UT 84124-1216

Phone

(801) 262-3441

Fax

(801) 269-9005

NPI assigned

Jul 12, 2005

Last updated

Dec 20, 2013By 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

Practice roles

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.

• Logan Radiology Group LLC

  • Diagnostic Radiology Physician
  • Logan, UT
  • NPI 1043212988
  NPD (past)
• Revere Health PC

  dba Revere Health

  • Multi-Specialty Clinic/Center
  • Spanish Fork, UT
  • NPI 1851142285
  NPD (past)
• New Frontier Imaging, LLC

  dba dba Health Dimensions Clinic

  • Family Nurse Practitioner
  • Rock Springs, WY
  • NPI 1710337217
  NPD (past)
• Sweetwater Radiology, PC

  • Diagnostic Radiology Physician
  • Green River, WY
  • NPI 1952344137
  NPD (past)

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1659379923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 E 300 N",
            "city": "MIDWAY",
            "state": "UT",
            "postal_code": "840496917",
            "telephone_number": "435-760-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E 3900 S",
            "address_2": "B150",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241216",
            "telephone_number": "801-262-3441",
            "fax_number": "801-269-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILD",
        "first_name": "DOUGLAS",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "UT",
            "license": "170121-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Child & Family Empowerment Services LLC
• Child & Family Empowerment Services, LLC
• Child and Family Empowerment Services, LLC
• Aysha Child
• Brent S. Child, M.D.
• Todd A Child, MD
• Allison Elizabeth Childers
• Children Service Society of Utah
• Children's Center
• Children's Service Society

• Diagnostic Radiology Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Diagnostic Radiology Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2013; 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.