DR. MICHELLE CHRISTINA DOUGLAS (NPI# 1417002155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417002155 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE CHRISTINA DOUGLAS |
| Credential | DMD |
| Practice Address |
315 Pendleton Dr Martinsburg WV 25401-2920 |
| Practice Telephone | (304) 267-7815 |
| Practice Fax Number | 3042670544 |
| Mailing Telephone | (304) 267-7815 |
| Mailing Fax Number | 3042670544 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2017-09-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02320100 | NJ | Dental Providers |
| 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 |
| 1346202595 | Michelle Douglas | Physician Assistant | 5825 Highway 90, Milton, FL 32583-1763 | 2006-04-04 |
| 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 |
315 PENDLETON DR |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487752754 | Caroline E Joe | Pediatrics | 315 Pendleton Dr, Martinsburg, WV 25401-2920 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1013530633 | Pdi Health Wv LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 126 E. Burke Street, Martinsburg, WV 25401 | 2020-05-19 |
| 1699293035 | Tiffany Curry | Social Worker | 653 Winchester Avenue, Martinsburg, WV 25401 | 2017-09-06 |
| 1972042992 | Berkeley County Council | Counselor | 800 Emmett Rousch Drive, Martinsburg, WV 25401 | 2017-02-23 |
| 1023569449 | Heidi Crawford | Registered Nurse | 401 South College Street, Berkeley County Board of Ed, Martinsburg, WV 25401 | 2016-10-20 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1578926549 | Barathy Radhakrishnan | Speech-Language Pathologist | 401 Queen Street, Berkeley County Board of Education, Martinsburg, WV 25401 | 2016-03-29 |
| 1972985638 | Wellco Dme LLC | Durable Medical Equipment & Medical Supplies | 107 Tavern Rd, Martinsburg, WV 25401 | 2015-06-18 |
| 1457731960 | Patrick Hamilton Noland | Dentist | 1003 Sushruta Dr., Martinsburg, WV 25401 | 2015-06-01 |
| 1801296330 | Terry Harden | Massage Therapist | 601 South Raliegh St., Martinsburg, WV 25401 | 2014-09-03 |
| Find all providers in zip 25401 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932585916 | Peter M Tan Jr. | Dentist | 14679 Apple Harvest Dr Ste 100, Martinsburg, WV 25401-3703 | 2015-08-03 |
| 1083915425 | Thomas J. Meals Dmd,pllc | Dentist | 2007 Professional Ct, Martinsburg, WV 25401-8808 | 2010-11-16 |
| 1255595468 | Donald E. Patthoff Dds Inc | Dentist | 300 Foxcroft Ave Ste 302, Martinsburg, WV 25401-5341 | 2008-07-16 |
| 1558490862 | Hani Al-saleh | Dentist | 28 Street of Dreams, Martinsburg, WV 25403-1135 | 2007-03-04 |
| 1376679068 | Lisa Lea Dunn | Dentist | 2500 Foundation Way, Wvu Health Sciences Center Eastern Division, Martinsburg, WV 25401-9000 | 2007-02-26 |
| 1255498978 | Murray S Smith Family and Laser Dentistry Inc | Dentist | 210 E Allegheny St, Martinsburg, PA 16662 | 2007-01-02 |
| 1134293186 | Robert Samuel Gingrich | Dentist | 8724 Tuscarora Pike, Martinsburg, WV 25403-1012 | 2006-11-20 |
| 1639242761 | Erica Breann Patthoff | Dentist | 300 Foxcroft Drive, Suite 302, Martinsburg, WV 25401 | 2006-11-16 |
| 1336219567 | Andrew K Townsend | Dentist | 2007 Professional Court, Martinsburg, WV 25401 | 2006-11-08 |
| 1710067269 | Cruikshank & Mathias Dentists Inc | Dentist | 215 S Louisiana Avenue, Martinsburg, WV 25401-2037 | 2006-10-17 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on DR. MICHELLE CHRISTINA DOUGLAS.
| 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.