Individual provider Active NPI

Douglas Scott Tice, MD

  • Orthopaedic Trauma Physician
  • Martinsburg, WV
National Provider Identifier
1942314620
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Trauma PhysicianTaxonomy code 207XX0801X
License
16852 Issued in WV
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

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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, NE3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060424000176 WV Practitioner - Orthopedic Surgery 0749240844 Reassigns benefits to 1 organization
I20151109000103 NC Practitioner - Orthopedic Surgery 0749240844 Reassigns benefits to 2 organizations
I20240312003324 NE Practitioner - Orthopedic Surgery 0749240844 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement15
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

LicenseStateTypeSpecialty
D53001MDMDOrthopaedic Surgery Physician
200400986NCMDOrthopaedic Trauma Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Maria Parham Physician Practices, LLC Orthopaedic Surgery CurrentSince Feb 3, 2018 Accepting new patients
Community Hospital Association CurrentSince Feb 3, 2024 Accepting new patients
Williamston Clinic Corp Orthopaedic Surgery CurrentSince Sep 7, 2015 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Feb 3, 2018 Accepting new patients
Camc Greenbrier Valley Medical Center Inc Current Accepting new patients
Community Hospital Association Orthopaedic Surgery CurrentSince Feb 3, 2024 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Dec 1, 2024 Accepting new patients
Camc Greenbrier Valley Medical Center, Inc. CurrentSince Dec 1, 2024 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.