MARGIE DOUGLAS


Address: 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034
Phone: 2177880706

MARGIE DOUGLAS (NPI# 1154623585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154623585
Entity Type Individual
Full Name MARGIE DOUGLAS
Practice Address 619 E Mason St
Suite 4p57
Springfield
IL 62701-1034
Practice Telephone 2177880706
Enumeration Date 2010-11-17
Last Update Date 2013-03-12
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
209008390 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL RR MEDICARE P00907053 01

Office Location

Street Address 619 E MASON ST
SUITE 4P57
City SPRINGFIELD
State IL
Zip Code 62701-1034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033190814 Carl E Arentzen Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St, Suite 3p25, Springfield, IL 62701-1034 2005-11-09
1669913349 Laura Grubb Internal Medicine 619 E Mason St, Ste. 4p57, Springfield, IL 62701-1034 2017-03-15
1265974604 Julie Borjon Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-11-16
1912358565 Meleah Vaughan Nurse Practitioner 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-06-24
1508225616 Margaret Jordan Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-02-17
1487011144 Shauna Vogler Internal Medicine 619 E Mason St, Springfield, IL 62701-1034 2016-01-25
1871987750 Amy Durako Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2015-03-27
1215333604 Meredith Fleming Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2014-11-12
1326378175 Angela K. Lafrenz Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2009-12-29
1922249895 Nancy Kean Chatham Internal Medicine 619 E Mason St, Prairie Heart Institute, Springfield, IL 62701-1034 2009-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687183 Affinity Patient Coordination LLC In Home Supportive Care 217 E Monroe St Ste 102, Springfield, IL 62701 2018-07-31
1427498435 Donald L Jacoby Pharmacist 701 N. First St., Springfield, IL 62701 2013-07-05
1700183480 Erin Zepp Dietitian, Registered 319 E Madison St Ste 1f, Springfield, IL 62701 2011-02-16
1518117159 Jyoti Assudani Pediatrics 301 N 8th Street, Springfield, IL 62701 2008-09-19
1396924148 Jeanne Lyn Malone Counselor 408 South Fifth Street, Springfield, IL 62701 2007-10-29
1942422928 Nobuharu Harada Family Medicine 301 N 8th, Pav-3a158, Springfield, IL 62701 2007-05-02
1427131127 Radiological Associates of Decatur Radiology 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 2006-10-24
1669498606 Independence Holding Co LLC Pharmacy 201 North 5th Street, Springfield, IL 62701 2006-07-14
1720070238 Neil J. Thomas Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St Ste 4p57, Springfield, IL 62701 2005-08-19
1588187397 Andrea Nicole Bloodworth Internal Medicine 619 E Mason St Ste 4p57, Springfield, IL 62701 2017-07-24
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255940060 Rosemarie Stebbins Nurse Practitioner 436 Dwight St Ste 205, Springfield, MA 01103-1317 2020-07-28
1962906552 Caroline Mcgarr Butler Nurse Practitioner 368 River St Ste 160, Springfield, VT 05156-2242 2018-03-20
1578070561 Claudia Franc Williams Nurse Practitioner Springfield Medical Care Systems, Inc. 25 Ridgewood Rd, Springfield, VT 05156 2017-12-29
1598298457 Summer Tipton Nurse Practitioner 2140 S Hillcrest Ave, Springfield, MO 65807-2108 2017-04-07
1417406489 Amy L Peters Nurse Practitioner 1242 E Independence St, #200, Springfield, MO 65804-4284 2016-10-01
1679833271 Sentew Care Nurse Practitioner LLC Nurse Practitioner 8322 Bark Tree Ct, Springfield, VA 22153-3828 2012-05-17
1508157140 Springfield Internal Medicine Group Nurse Practitioner 1435 E Bradford Pkwy, Suite 105, Springfield, MO 65804-6563 2011-05-01
1043533128 Keri Lynn Sutton Nurse Practitioner 1730 E Republic Rd Ste K, Springfield, MO 65804-6519 2010-03-03
1093967630 Maire Alexander Nurse Practitioner 7939 Lake Pleasant Dr, Springfield, VA 22153-2750 2008-10-15
1790937498 Marlene Karen Schmitz Nurse Practitioner 385 Morris Ave Ste 100, Springfield, NJ 07081-1100 2008-10-14
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Competitor

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City SPRINGFIELD
Zip Code 62701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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