Active NPI
Donald Douglas,MD
- Pain Clinic/Center
- Lexington, KY
National Provider Identifier
1902329436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 26259
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donald R. Douglas, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Medicine & Rehabilitation Physician
- Lexington, KY
- NPI 1053416313
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.