Active NPI
Douglas J Testori, D.O.
- Medical Oncology Physician
- Wilmington, NC
National Provider Identifier
1962477877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- 2005-00851
- Practice address
- 1520 Physicians Dr
Wilmington, NC 28401-7356 - Phone
- (910) 763-5182
- Fax
- (910) 763-0291
- NPI assigned
- Feb 22, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | 2005-00851 | NC | Primary |
Addresses
Primary practice location
1520 Physicians Dr
Wilmington, NC 28401-7356
Mailing address
PO Box 602484
Charlotte, NC 28260-2484
Phone (910) 763-0291
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00347861 | Other | NC | RAILROAD MEDICARE |
| 5901092 | Medicaid | NC | |
| Q0085R | Medicaid | SC | |
| 1962477877 | Medicaid | NC | |
| 8901740 | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2005-00851 | NC | MD | Medical Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415318400000",
"number": "1962477877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602484",
"telephone_number": "910-763-0291",
"fax_number": "910-763-0291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1520 PHYSICIANS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017356",
"telephone_number": "910-763-5182",
"fax_number": "910-763-0291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TESTORI",
"first_name": "DOUGLAS",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2014-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "NC",
"license": "2005-00851",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00347861",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901092",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Q0085R",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962477877",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8901740",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.