MICHELLE DOUGLAS (NPI# 1346202595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346202595 |
| Entity Type | Individual |
| Full Name | MICHELLE DOUGLAS |
| Credential | PA-C |
| Practice Address |
5825 Highway 90 Milton FL 32583-1763 |
| Mailing Address |
5776 Pebble Ridge Dr Milton FL 32583-2305 |
| Practice Telephone | 8502663430 |
| Practice Fax Number | 8506263431 |
| Mailing Telephone | 6197230731 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2019-04-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA 9105934 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
5054 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1100 Airport Blvd Ste B, Pensacola, FL 325048622 | 8505493379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164620 | Michelle Porter Douglas | Registered Nurse | 511 Denver Blvd, San Antonio, TX 78210-2105 | 2020-11-05 |
| 1962578765 | Michelle Douglas | Counselor | 222 Coneflower Dr, Spring Branch, TX 78070-5039 | 2006-11-27 |
| 1417002155 | Michelle Christina Douglas | Dentist | 315 Pendleton Dr, Martinsburg, WV 25401-2920 | 2007-01-24 |
| 1114933587 | Michelle Douglas | Physical Therapist | 676 Battlefield Blvd N Ste C, Chesapeake, VA 23320-0306 | 2006-07-31 |
| 1730113424 | Michelle L Douglas | Obstetrics & Gynecology | 10101 S 27th St, Franklin, WI 53132-7209 | 2006-07-10 |
| Street Address |
5825 HIGHWAY 90 |
| City | MILTON |
| State | FL |
| Zip Code | 32583-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548315989 | Carolyn H Miragliotta | Nurse Practitioner | 5825 Highway 90, Milton, FL 32583-1763 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538679832 | Lifelong Behavioral Services, LLC | Behavioral Analyst | 6810 Fort Jackson Court, None, Milton, FL 32583 | 2017-10-02 |
| 1164815049 | Codi Hatfield | Counselor | 5850 East Milton Rd, Milton, FL 32583 | 2015-03-16 |
| 1962821397 | Marlene Loewen | Behavioral Analyst | 6810 Fort Jackson Ct, Milton, FL 32583 | 2014-04-14 |
| 1891263661 | Courtney Taylor Geren | Behavior Technician | 6810 Fort Jackson Ct, Milton, FL 32583 | 2018-11-09 |
| 1790320828 | Kathryn H Jones | Social Worker | 5688 Meadow Rd, Milton, FL 32583-1667 | 2019-11-13 |
| 1891984795 | Sheila Mohammed | Preventive Medicine | 5675 Highway 90, Ste B, Milton, FL 32583-1675 | 2007-10-17 |
| 1568407872 | Watson Family Dentistry | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2006-06-19 |
| 1164081287 | Thomas Keith Rowell | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2019-06-12 |
| 1104275254 | Robert Rowell | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2016-06-09 |
| 1528248499 | Brett Watson | Dentist | 5750 Highway 90, Milton, FL 32583-1742 | 2007-11-08 |
| Find all providers in zip 32583 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659635829 | Susan Rene Ferguson | Physician Assistant | 5982 Berryhill Rd, Suite B, Milton, FL 32570-4001 | 2012-07-02 |
| 1174154256 | Jared C. Shipley | Physician Assistant | 5520 Stewart St, Milton, FL 32570-4304 | 2020-01-28 |
| 1215407960 | Taylor Haines White | Physician Assistant | 5907 Berryhill Rd, Milton, FL 32570-8278 | 2018-11-26 |
| 1053848788 | Ashley Poole | Physician Assistant | 611 Federal St Ste 3, Milton, DE 19968-1157 | 2017-05-12 |
| 1477090470 | Caitlin Chantae Mosley | Physician Assistant | 5992 Berryhill Rd, Suite 302, Milton, FL 32570-1013 | 2017-01-27 |
| 1346609450 | Matthew Sorsby | Physician Assistant | 5907 Berryhill Rd, Milton, FL 32570-8278 | 2016-02-17 |
| 1073940615 | Kayleen M Moore | Physician Assistant | 100 Highland St, Suite 300, Milton, MA 02186-3881 | 2013-09-27 |
| 1982037438 | Nnenna O Onyemauwa | Physician Assistant | 5907 Berryhill Rd, Milton, FL 32570-8278 | 2013-08-19 |
| 1477828614 | Tiana Natal Nygaard | Physician Assistant | 5992 Berryhill Rd, 300, Milton, FL 32570-1013 | 2012-03-21 |
| 1235380601 | Barry F Canavan | Physician Assistant | 100 Highland St, Suite 222, Milton, MA 02186-3881 | 2008-10-03 |
| Find all providers in MILTON | ||||
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| 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.