Active NPI
Douglas Scott Tice, MD
- Orthopaedic Trauma Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 16852
- Practice address
- 309 Medical CT
Martinsburg, WV 25401-2843 - Phone
- (304) 263-0953
- Fax
- (304) 263-5826
- NPI assigned
- Aug 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | D53001 | MD | |
| Orthopaedic Surgery Physician | 207X00000X | 16852 | WV | |
| Orthopaedic Surgery Physician | 207X00000X | MD066898L | PA | |
| Orthopaedic Surgery Physician | 207X00000X | 200400986 | NC | |
| Orthopaedic Trauma Physician | 207XX0801X | D53001 | MD | |
| Orthopaedic Trauma Physician | 207XX0801X | 200400986 | NC | |
| Orthopaedic Trauma Physician | 207XX0801X | 16852 | WV | Primary |
Addresses
Primary practice location
309 Medical CT
Martinsburg, WV 25401-2843
Mailing address
309 Medical CT
Martinsburg, WV 25401-2843
Phone (304) 263-0953
Other practice location 1
800 Plaza Dr Ste 400
Rostraver Twp, PA 15012-4019
Phone (724) 379-5802
Other practice location 2
1464 Jefferson St N
Lewisburg, WV 24901-1380
Phone (304) 645-3220
Other practice location 3
7651 Lake Raystown Shopping Ctr
Huntingdon, PA 16652-8403
Phone (814) 643-8485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV, NC, NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- West Virginia University School of Medicine, 1990
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1320 Maplewood Ave
Ronceverte, WV 24970-8016
Phone (304) 647-4411
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 15 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D53001 | MD | MD | Orthopaedic Surgery Physician |
| 200400986 | NC | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Maria Parham Physician Practices, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Community Hospital Association | Current | Accepting new patients | |
| Williamston Clinic Corp | Orthopaedic Surgery | Current | Accepting new patients |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Camc Greenbrier Valley Medical Center Inc | Current | Accepting new patients | |
| Community Hospital Association | Orthopaedic Surgery | Current | Accepting new patients |
| Camc Greenbrier Valley Medical Center, Inc. | Current | Accepting new patients | |
| Camc Greenbrier Valley Medical Center, Inc. | Current | Accepting new patients | |
| Community Hospital Association | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Integrated Health Care Providers | Past | Accepting new patients | |
| Coastal Plains Physician Associates | Past | Accepting new patients | |
| Greenbrier VMC LLC | Past | Accepting new patients | |
| Upmc Western Maryland Health Services, LLC | Past | Accepting new patients |
Locations
120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773
104 Medical Dr
Williamston, NC 27892
Phone (252) 809-6300
220 Green St
Williamston, NC 27892
Phone (252) 792-0305
1301 E H St
McCook, NE 69001
Phone (308) 344-2650
400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762
501 Morris St
Charleston, WV 25301
Phone (304) 348-6293
176 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-6083
231 Dawkins Dr
Lewisburg, WV 24901
Phone (304) 645-0870
1322 Maplewood Ave
Ste A
Ronceverte, WV 24970
Phone (304) 647-1146
1521 Maplewood Ave
Ronceverte, WV 24970
1320 Maplewood Ave
Ronceverte, WV 24970
Phone (304) 645-0870
Organizations & group practices 14
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.
-
- Cardiovascular Disease Physician
- Ronceverte, WV
- NPI 1588373872
-
- Emergency Medicine Physician
- MC Cook, NE
- NPI 1588771158
Orthopaedic Surgery
-
- Critical Access Hospital
- McCook, NE
- NPI 1841204500
-
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Family Medicine Physician
- Williamston, NC
- NPI 1811990443
Orthopaedic Surgery
-
- Rural Health Clinic/Center
- Peterstown, WV
- NPI 1588485478
-
- Optometrist
- Ronceverte, WV
- NPI 1962287722
-
- Home Health Agency
- MC Cook, NE
- NPI 1194753889
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
- Orthopaedic Surgery Physician
- Henderson, NC
- NPI 1558750893
-
- General Acute Care Hospital
- Ronceverte, WV
- NPI 1639124142
-
- Multi-Specialty Clinic/Center
- Charleston, WV
- NPI 1922123587
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Ronceverte, WV
- NPI 1679299408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631664000000",
"number": "1942314620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 MEDICAL CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012843",
"telephone_number": "304-263-0953",
"fax_number": "304-263-5826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "309 MEDICAL CT",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254012843",
"telephone_number": "304-263-0953",
"fax_number": "304-263-5826"
}
],
"practiceLocations": [
{
"address_1": "800 Plaza Dr Ste 400",
"address_purpose": "LOCATION",
"city": "Rostraver Twp",
"state": "PA",
"postal_code": "150124019",
"country_code": "US",
"telephone_number": "724-379-5802",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1464 Jefferson St N",
"address_purpose": "LOCATION",
"city": "Lewisburg",
"state": "WV",
"postal_code": "249011380",
"country_code": "US",
"telephone_number": "304-645-3220",
"fax_number": "304-793-2491",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7651 Lake Raystown Shopping Ctr",
"address_purpose": "LOCATION",
"city": "Huntingdon",
"state": "PA",
"postal_code": "166528403",
"country_code": "US",
"telephone_number": "814-643-8485",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TICE",
"first_name": "DOUGLAS",
"middle_name": "SCOTT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-18",
"last_updated": "2021-09-15",
"certification_date": "2021-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D53001",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WV",
"license": "16852",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "PA",
"license": "MD066898L",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "200400986",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MD",
"license": "D53001",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NC",
"license": "200400986",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "WV",
"license": "16852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.