ROBERT M DOUGLAS (NPI# 1538182399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538182399 |
| Entity Type | Individual |
| Full Name | ROBERT M DOUGLAS |
| Credential | M.D. |
| Practice Address |
400 South 43rd Street C/o Valley Radiation Oncology Renton WA 98055 |
| Mailing Address |
Po Box 749730 Los Angeles CA 90074-9730 |
| Practice Telephone | 4252515121 |
| Practice Fax Number | 4256564072 |
| Mailing Telephone | 2069710034 |
| Mailing Fax Number | 2062154351 |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2013-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD00042601 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | RAIL ROAD MEDICARE | P00172506 | 01 |
| WA | 8405714 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194108225 | Robert Douglas Jr. | Contractor | 65 Grand Valley Ct, Howard, OH 43028-9200 | 2015-07-07 |
| 1730436593 | Robert T Douglas | Pharmacist | 335 Se Valley View Way, Chehalis, WA 98532-4304 | 2012-08-11 |
| 1710243167 | Robert Gordon Douglas Jr. | Internal Medicine | 265 Old Black Point Rd, Niantic, CT 06357-3732 | 2012-04-10 |
| 1053574137 | Robert James Douglas | Specialist | 13865 Locust Ln, Nampa, ID 83686-9367 | 2008-07-08 |
| 1003938663 | Robert Duane Douglas | Dentist | 160 S Bellwood Dr Ste B, East Alton, IL 62024-2086 | 2007-04-04 |
| 1861516239 | Robert Dean Douglas | Optometrist | 12412 Stafford St, Ravenna, MI 48451-0307 | 2007-03-19 |
| 1790757417 | Robert N Douglas | Dentist | 424 Route 304, Bardonia, NY 10954-1613 | 2006-02-06 |
| 1104442508 | Robert Derrick Douglas | Specialist/Technologist | 1302 Tom Temple Dr, Lufkin, TX 75904-5581 | 2020-06-22 |
| 1275856510 | Robert Leslie Douglas | Counselor | 10 Fiske Pl, Suite 228, Mount Vernon, NY 10550-3205 | 2010-03-01 |
| 1366532236 | Robert M Douglas | Family Medicine | 5555 E Arapahoe Rd, Centennial, CO 80122-2312 | 2006-10-13 |
| Street Address |
400 SOUTH 43RD STREET C/O VALLEY RADIATION ONCOLOGY |
| City | RENTON |
| State | WA |
| Zip Code | 98055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922498559 | Toan Quoc Nguyen | Nurse Anesthetist, Certified Registered | 400 South 43rd Street, Valley Medical Center Heliport, Renton, WA 98055-5714 | 2015-02-04 |
| 1992828248 | Jeffrey Stein | Pharmacist | 400 South 43rd Street, Renton, WA 98058-5010 | 2007-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356965750 | Proliance Surgery Center At Valley, LLC | Clinic/Center | 4009 Talbot Road S, Suite 200, Renton, WA 98055 | 2020-06-01 |
| 1851804959 | Talbot Rehabilitation Center, LLC | Skilled Nursing Facility | 4430 Talbot Road South, Renton, WA 98055 | 2017-11-10 |
| 1154878668 | Nelson Family Dentistry | Dentist | 19221 108th Ave Se Suite #2, Renton, WA 98055 | 2016-09-01 |
| 1598182990 | Annie Kyunga Ahn | Otolaryngology | 4033 Talbot Rd S Ste 540, Renton, WA 98055 | 2014-03-24 |
| 1376960138 | Madhuri Gordhan Patel | Registered Nurse | 3501 Mill Place South, Renton, WA 98055 | 2014-03-18 |
| 1912331042 | Karen Dohr | Pharmacist | 400 S. 43 Street, Renton, WA 98055 | 2013-08-26 |
| 1659637668 | Benjamin Reiss | Ophthalmology | 4300 Talbot Rd S Ste 300, Renton, WA 98055 | 2012-04-03 |
| 1205137940 | Duy Ai Quang Hoang | Pharmacist | 9431 S 196th Pl, Renton, WA 98055 | 2010-11-11 |
| 1972823664 | Erica L Ellzey | Physical Therapist | 18623 112th Ave Se, Renton, WA 98055 | 2010-06-04 |
| 1588984587 | Melissa A. Jordan | Nurse Anesthetist, Certified Registered | 4011 Talbot Rd., 5th Floor, Renton, WA 98055 | 2010-06-02 |
| Find all providers in zip 98055 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902820095 | John J Travaglini II | Radiology | 400 South 43rd, C/o Valley Radiation Oncology, Renton, WA 98055 | 2006-07-26 |
| 1568485761 | Tirog At Valley Pllc | Radiology | 400 S 43rd St, Renton, WA 98055-5714 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669829289 | Rosanna Hoi Lam Yeung | Radiology | 12040 Ne 128th St # Ms -63, Kirkland, WA 98034 | 2016-05-24 |
| 1508251000 | Anthony Hoai-nam Pham | Radiology | 19917 7th Ave Ne Ste 100, Poulsbo, WA 98370-6555 | 2015-04-01 |
| 1841603479 | Sherry Zhao | Radiology | 7350 W Deschutes Ave Ste A, Kennewick, WA 99336 | 2014-06-11 |
| 1467877670 | John Paul Lytle Jr. | Radiology | 6729 204th Dr. Ne, Redmond, WA 98053 | 2014-02-25 |
| 1962824219 | The Polyclinic | Radiology | 1225 Madison St, Seattle, WA 98104-1336 | 2014-01-06 |
| 1720356090 | Herbert Carl Berry | Radiology | 65 E. Roanoke St., Seattle, WA 98102 | 2011-12-01 |
| 1609175660 | Legacy Salmon Creek Hospital | Radiology | 2121 Ne 139th St Ste 100, Vancouver, WA 98686-2316 | 2011-03-16 |
| 1861794992 | Thomas Ward Griffin | Radiology | 3620 E Prospect St, Seattle, WA 98112-4440 | 2010-11-22 |
| 1407170467 | Aaron Shingo Kusano | Radiology | 1959 Ne Pacific St. Box 356043, University of Washington Department of Radiation Oncolo, Seattle, WA 98195 | 2010-03-19 |
| 1184866527 | Justin William Suszko | Radiology | 4525 3rd Ave Se Ste 100, Lacey, WA 98503-1010 | 2009-03-31 |
| Find all providers with the same taxonomy | ||||
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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.