John Antoni Douglas, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

56170741204 Issued in UT

Practice address

2321 N 400 E Ste 300
Tooele, UT 84074-3440

Phone

(435) 833-9180

Fax

(435) 883-9177

NPI assigned

Jul 29, 2005

Sex

Male

Sole proprietor

Yes

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 UT

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

Specialty

Orthopedic Surgery

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tooele Orthopedics and Sports Medicine SpecialistsGroup PAC ID 0941279566, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Harmony Home Health Home health agency, Murray, UT, CCN 467104
• Mountain West Medical Center Hospital, Tooele, UT, CCN 460014

Merit-based Incentive Payment System (MIPS)

Final score

77.74 of 100Reported as group

Quality

63.3

Promoting interoperability

98

Improvement activities

40

Cost

64.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: douglasj@yourcarecommunity.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tooele Orthopedics & Sports Medicine Specialists

  • Orthopaedic Surgery Physician
  • Tooele, UT
  • NPI 1467581173
  Medicare reassignment Care Compare group NPD Authorized official
• Tooele Orthopedics & Sports Medicine Specialists

  • Orthopaedic Surgery Physician
  • Tooele, UT
  • NPI 1912908534
  NPD Authorized official
• Eastland Memorial Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Eastland, TX
  • NPI 1023353752
  NPD (past)
• Eastland Memorial Hospital District

  • General Acute Care Hospital
  • Eastland, TX
  • NPI 1689650921
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Harmony Home Health Services, LLC

  • Home Health Agency
  • Murray, UT
  • NPI 1184770547
  Care Compare affiliation
• Tooele Hospital Corporation

  • General Acute Care Hospital
  • Tooele, UT
  • NPI 1124090659
  Care Compare affiliation

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

{
    "created_epoch": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1851391908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 300",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-833-9180",
            "fax_number": "435-883-9177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N 400 E STE 300",
            "city": "TOOELE",
            "state": "UT",
            "postal_code": "840743440",
            "telephone_number": "435-833-9180",
            "fax_number": "435-883-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JOHN",
        "middle_name": "ANTONI",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "56170741204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Diaz
• Nikayla Dibble, NP
• Stephanie M Dickson, APRN-CRNA
• An Tuong Dinh, MD
• Cameron Dortch, MPAS, PA-C
• Suzette Dow
• Juliet Dowdle, MFT
• Sarah Rebecca Droubay, LMFT
• Eva Duarte, BHCM
• Lanny F Duclos, OD

• Orthopaedic Surgery Physician in Tooele, UT
• Providers in Tooele, UT by specialty
• Orthopaedic Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.
• 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.