Active NPI
Paul David Doughten, DO
- Family Medicine Physician
- Dover, DE
National Provider Identifier
1699757153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- O1904
- Practice address
- 300 Tuskegee Blvd
Dover, DE 19902-5003 - Phone
- (302) 677-2077
- NPI assigned
- Nov 18, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | O1904 | IA | Primary |
Addresses
Primary practice location
300 Tuskegee Blvd
Dover, DE 19902-5003
Mailing address
300 Tuskegee Blvd
Dover, DE 19902-5003
Phone (302) 677-2077
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O1904 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385424000000",
"number": "1699757153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 TUSKEGEE BLVD",
"city": "DOVER",
"state": "DE",
"postal_code": "199025003",
"telephone_number": "302-677-2077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TUSKEGEE BLVD",
"city": "DOVER",
"state": "DE",
"postal_code": "199025003",
"telephone_number": "302-677-2077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGHTEN",
"first_name": "PAUL",
"middle_name": "DAVID",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-18",
"last_updated": "2013-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "O1904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.