Individual provider Active NPI

Douglas P. Webster, D.O.

  • Emergency Medicine Physician
  • Dallas, TX
National Provider Identifier
1932157286
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-073803 Issued in IL
Practice address
13737 Noel Rd
Suite # 1600
Dallas, TX 75240-1331
Phone
(469) 401-2386
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 02001017A IN
Emergency Medicine Physician 207P00000X 036-073803 IL Primary

Addresses

Primary practice location

13737 Noel Rd
Suite # 1600
Dallas, TX 75240-1331

Mailing address

13737 Noel Rd
Suite # 1600
Dallas, TX 75240-1331
Phone (469) 401-2386

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036-073803ILMDEmergency Medicine Physician
02001017AINMDEmergency Medicine Physician
9640CAMDOther Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside County Medical Services a Medical Corporation Emergency Medicine PastSince Mar 16, 2016 Accepting new patients
Warthan Creek Emergency Physicians, a Medical Corporation Emergency Medicine PastSince Nov 27, 2013 Accepting new patients
Cottage Emergency Physicians LLC Emergency Medicine PastSince Nov 28, 2011 Accepting new patients
Great Lakes Anesthesia LLC PastSince Dec 18, 2010 Accepting new patients
Tippecanoe Anesthesia Services LLC PastSince Jan 7, 2012 Accepting new patients
Webster Emergency Physicians Emergency Medicine PastSince Jan 28, 1998 Accepting new patients
Emergency and Acute Care Medical Corporation Emergency Medicine PastSince May 1, 2022 Accepting new patients
Kepler Inpatient Services PastSince Oct 1, 2006 Accepting new patients
Reddy Pop Emergency Physicians Emergency Medicine PastSince Jun 1, 2009 Accepting new patients
California Em-I Medical Services, a Medical Corporation Emergency Medicine Past Accepting new patients
Phalarope Inpatient Services, a Medical Corporation Past Accepting new patients
Ea Health - New Jersey LLC Emergency Medicine PastSince May 1, 2022 Accepting new patients

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1932157286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "SUITE # 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "469-401-2386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13737 NOEL RD",
            "address_2": "SUITE # 1600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752401331",
            "telephone_number": "469-401-2386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "DOUGLAS",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "02001017A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-073803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; 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.