Organization Active NPI

David J. Macdougall, D.O., P.a.

  • Neurological Surgery Physician
  • Baytown, TX
National Provider Identifier
1902089618
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G9493 Issued in TX
Legal business name
DAVID J. MACDOUGALL, D.O., P.A.
Practice address
4201 Garth Road
Suite #301
Baytown, TX 77521
Phone
(713) 795-5300
Fax
(713) 795-5720
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
David John Macdougall, D.O., P.A.NPI 1376662726
Title
President
Phone
(713) 795-5300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207T00000X G9493 TX Primary

Addresses

Primary practice location

4201 Garth Road
Suite #301
Baytown, TX 77521

Mailing address

3211 Savell Dr
Baytown, TX 77521-2700
Phone (713) 795-5300

Other identifiers 1

IdentifierTypeStateIssuer
148542701MedicaidTX

Other names 1

  • Neurosurgical Associates of Houston Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041102000511 TX Part B Supplier - Clinic/Group Practice 8527020544 Receives reassigned benefits from 2 practitioners
Practice locations: Baytown, TX

National Provider Directory

National Provider Directory

Locations

6410 Fannin St
Ste 1223
Houston, TX 77030
Phone (713) 500-6940

6410 Fannin St
Ste 1115
Houston, TX 77030
Phone (713) 795-5300

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1902089618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 SAVELL DR",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775212700",
            "telephone_number": "713-795-5300",
            "fax_number": "713-795-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 GARTH ROAD",
            "address_2": "SUITE #301",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "77521",
            "telephone_number": "713-795-5300",
            "fax_number": "713-795-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. MACDOUGALL, D.O., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "MACDOUGALL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-795-5300",
        "authorized_official_credential": "D.O., P.A."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Neurological Surgery",
            "state": "TX",
            "license": "G9493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148542701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neurosurgical Associates of Houston",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Neurosurgical Associates of Houston",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Baytown, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.