Marion Douglass, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

32713 Issued in AZ

Practice address

6050 N. Corona Rd.
Ste 3
Tucson, AZ 85704

Phone

(520) 469-8700

Fax

(520) 469-8708

NPI assigned

Feb 24, 2006

Last updated

Mar 3, 2016By 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

Enrolled in AZ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sonora Behavioral Health Hospital, LLC

  dba Sonora Behavioral Health

  • Psychiatric Hospital
  • Tucson, AZ
  • NPI 1750466892
  Medicare reassignment NPD
• Sonora Behavioral Health Hospital, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tucson, AZ
  • NPI 1245777481
  NPD
• Arizona Diagnostic Pathology Associates PLLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Tucson, AZ
  • NPI 1326222696
  NPD (past)
• Life Recovery LLC

  • Clinical Psychologist
  • Lebanon, VA
  • NPI 1669537130

  Psychiatry

  NPD (past)
• Montgomery Surgery Associates LLC

  • Cardiovascular Disease Physician
  • Blacksburg, VA
  • NPI 1366486664
  NPD (past)

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1720054299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 E TANGERINE RD",
            "address_2": "STE. 3",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556213",
            "telephone_number": "520-901-6255",
            "fax_number": "520-901-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 N. CORONA RD.",
            "address_2": "STE 3",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "85704",
            "telephone_number": "520-469-8700",
            "fax_number": "520-469-8708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLASS",
        "first_name": "MARION",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "AZ",
            "license": "32713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Audrene Dougherty, LMSW
• Ashley Dougherty, PHARMD
• Shona Dougherty, MD, PHD
• Gary Douglas
• Kristina L Douglas, M.D.
• Christopher J Douville, D.D.S
• Sandra K Douville, EDS
• Joshua Mark Dover, PHARM.D.
• Elizabeth Theresa Dovi, FNP-BC
• Cynthia L. Dowdall, PH.D.

• Psychiatry Physician in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Psychiatry Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.