Douglas Whitehead MD PC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

DOUGLAS WHITEHEAD MD PC

Practice address

440 Church St SE Ste 101
Salem, OR 97301-4022

Phone

(864) 501-0751

NPI assigned

May 14, 2026

Organization subpart

No

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

Authorized official

Name

Mark Kemble, MD

Title

Cmo of Primary Care

Phone

(864) 640-8355

Specialties & licenses 1

Addresses

Other names 1

• Proactive MD SAIF Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785801600000",
    "number": "1831028166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 VILLA RD STE 100",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153052",
            "telephone_number": "864-501-0751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 CHURCH ST SE STE 101",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014022",
            "telephone_number": "864-501-0751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS WHITEHEAD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A",
        "authorized_official_last_name": "KEMBLE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CMO OF PRIMARY CARE",
        "authorized_official_telephone_number": "864-640-8355",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Proactive MD SAIF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Dorsey, PMHNP, FNP, ENP
• David T. Dougher, LCSW
• Ladina M Dougherty
• Nancy K Dougherty, MD
• Douglas J. Schubert,D.C., P.C.
• Jeneane Douglas, LPTA, C-SLPA, B.S.
• Scott Patrick Douglas, DPT
• Janelle Lee Douglass
• Trevor Stanley Douglass, DC, CCSP, MPH
• Doulas of Salem, LLC

• Clinic/Center in Salem, OR
• Providers in Salem, OR by specialty
• Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.