Douglass Breath of Life

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

License

YM006253L Issued in PA

Legal business name

DOUGLASS BREATH OF LIFE

Practice address

3901 Conshohocken Ave
#8308
Philadelphia, PA 19131-5430

Phone

(215) 877-1114

Fax

(215) 877-1114

NPI assigned

Aug 18, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Lydell Douglass

Title

Certified Respiratory Therapist

Phone

(215) 877-1114

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1831479047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CONSHOHOCKEN AVENUE",
            "address_2": "#8308",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19131",
            "telephone_number": "215-877-1114",
            "fax_number": "215-877-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 CONSHOHOCKEN AVE",
            "address_2": "#8308",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191315430",
            "telephone_number": "215-877-1114",
            "fax_number": "215-877-1114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLASS BREATH OF LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "LYDELL",
        "authorized_official_title_or_position": "CERTIFIED RESPIRATORY THERAPIST",
        "authorized_official_telephone_number": "215-877-1114",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Respiratory Therapist, Certified",
            "state": "PA",
            "license": "YM006253L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Genevieve Douglas, M.D.
• Evana Douglas, RN
• Jennifer Ellen Douglas, M.D.
• Jenniya Douglas
• Sotonye Carolyn Douglas, MD
• Laura Douglass
• Patricia Douglass, RN
• Isabella Doulas
• Alexia O Doumbouya
• Carmen Doumit, BDS, MS, CAGS

• Certified Respiratory Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Certified Respiratory Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2011; 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.