Doug S Nozaki, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

110441 Issued in MO

Practice address

515 N Virginia Ave
Eureka, MO 63025-1115

Phone

(636) 587-3000

Fax

(636) 587-3000

NPI assigned

Aug 19, 2006

Last updated

Sep 16, 2014By 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

Practice roles

Interoperability endpoints

• Direct secure messaging: dnozaki@eurekapediatrics.opdirect.net

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.

• Eureka Pediatrics

  • Pediatrics Physician
  • Eureka, MO
  • NPI 1578758470
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1740395102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 N VIRGINIA AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251115",
            "telephone_number": "636-587-3000",
            "fax_number": "636-587-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N VIRGINIA AVE",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251115",
            "telephone_number": "636-587-3000",
            "fax_number": "636-587-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOZAKI",
        "first_name": "DOUG",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "110441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi A Moore, D.O.
• Amanda M Nahlik, PT, DPT
• Katharine Joyce Neville, PT
• Maria Nordmann
• Northland Hearing Center, Inc. (Southwestern Hearing Center)
• On Track Pediatric Therapy, LLC (On Track Pediatric Therapy)
• Zachary Wade Orr, AGNP-C
• Orthopedic Specialists, PC (Orthopedic Specialists, PC Eureka)
• Emily Marie Oster, MS, CF-SLP
• Pain Relief Partners

• Pediatrics Physician in Eureka, MO
• Providers in Eureka, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; 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.