Organization Active NPI

Donald Douglas,MD

  • Pain Clinic/Center
  • Lexington, KY
National Provider Identifier
1902329436
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
License
26259 Issued in KY
Legal business name
DONALD DOUGLAS,MD
Practice address
261 Ruccio Way Ste 190
Lexington, KY 40503-3566
Phone
(859) 266-0404
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Dr. Donald R. Douglas, MDNPI 1053416313
Title
Physician
Phone
(859) 312-5751

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X 26259 KY Primary
Pain Clinic/Center 261QP3300X

Addresses

Primary practice location

261 Ruccio Way Ste 190
Lexington, KY 40503-3566

Mailing address

733 Chinkapin Dr Ste 2
Nicholasville, KY 40356-6023
Phone (859) 223-0721

Other names 1

  • Bluegrass Interventional Therapies Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1902329436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 CHINKAPIN DR STE 2",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403566023",
            "telephone_number": "859-223-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 RUCCIO WAY STE 190",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405033566",
            "telephone_number": "859-266-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD DOUGLAS,MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "859-312-5751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "KY",
            "license": "26259",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bluegrass Interventional Therapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2017; 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.