Jan Jewett Douglas, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DR. 0026087 Issued in CO

Practice address

661 Lafayette St
Denver, CO 80218-3609

Phone

(303) 993-8756

NPI assigned

Apr 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Practice roles

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.

• Grady Memorial Hospital Corporation

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1992799050
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389571200000",
    "number": "1942266291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183609",
            "telephone_number": "303-993-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 LAFAYETTE ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802183609",
            "telephone_number": "303-993-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "JAN",
        "middle_name": "JEWETT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "045772",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "DR. 0026087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PAN8776509340",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lori Anne Dougherty, LPC
• Nadege Dougherty
• Douglas R. Sewell DMD PLLC.
• Angela Lauren Douglas, PT, DPT
• Ivor S Douglas, MD
• John Munroe Douglas Jr., M.D.
• Kailen Alexander Douglas, NONE
• Katherine Douglas, PHARMD
• Kellie Ann Douglas, CPNP-PC
• Matthew L Douglas, M.D.

• Family Medicine Physician in Denver, CO
• Providers in Denver, CO by specialty
• Family Medicine Physician in Colorado

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