Douglas Merritt Macgaw, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

07103 Issued in TN

Practice address

2860 Covington Pike
Memphis, TN 38128-8090

Phone

(901) 252-6034

Fax

(901) 252-6048

NPI assigned

Sep 6, 2005

Sex

Male

Sole proprietor

No

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.

• Baptist Memorial Hospital

  • General Acute Care Hospital
  • Memphis, TN
  • NPI 1578527172
  NPD (past)
• Raleigh Group P.C.

  • Pediatrics Physician
  • Memphis, TN
  • NPI 1831209873

  Pediatrics

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2014.

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1922092949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2860 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381288090",
            "telephone_number": "901-252-6034",
            "fax_number": "901-252-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2860 COVINGTON PIKE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381288090",
            "telephone_number": "901-252-6034",
            "fax_number": "901-252-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACGAW",
        "first_name": "DOUGLAS",
        "middle_name": "MERRITT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "07103",
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TN",
            "license": "07103",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3159338",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Teresa Macaraeg, D.D.S.
• Precious Ayodele Lana Macauley, M.D
• Charles Bruce Macdonald, MD
• Jonathan Mace, DPT
• Kelsey Aquadro Mace, MOT, OTR/L
• James E Machin, MD
• Mack Endodontics DDS P.C.
• Anya Marina Mack
• Edward Maurice Mack, D.D.S.
• Erica Bolden Mack, PHAM D

• All providers in Memphis, TN
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.