Michael Douglas, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD0000010743 Issued in TN

Practice address

1920 Gunbarrel Rd
Suite 110
Chattanooga, TN 37421-3100

Phone

(423) 899-5241

Fax

(423) 894-7312

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932296373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 GUNBARREL RD",
            "address_2": "SUITE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213100",
            "telephone_number": "423-899-5241",
            "fax_number": "423-894-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 GUNBARREL RD",
            "address_2": "SUITE 110",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374213100",
            "telephone_number": "423-899-5241",
            "fax_number": "423-894-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD0000010743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "3149708",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tracy Dougherty, CCC-SLP
• Douglas L. Vanderbilt, M.D. ,P.C.
• Tenesha Douglas-Thomas, LPC/MHSP, NCC
• Candice Douglas
• Katy B Douglas, CRNA
• Austin Patrick Henry Dove, MD
• Paula J Dove, LCSW
• Wendy Alexandra Dowda
• Elizabeth T Dowden, CRNA
• Elaine Dowell, LPC-MHSP

• Internal Medicine Physician in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.