ROSCOE LORMER DOUGLAS (NPI# 1740494434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740494434 |
| Entity Type | Individual |
| Full Name | ROSCOE LORMER DOUGLAS |
| Credential | PH.D. |
| Practice Address |
1207 White Oak Dr Meridian MS 39305-1902 |
| Practice Telephone | 6014838370 |
| Practice Fax Number | 6014824248 |
| Mailing Telephone | 6014939370 |
| Mailing Fax Number | 6014824248 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
10 139 | MS | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00017960 | 05 |
| Street Address |
1207 WHITE OAK DR |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39305-1902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760686299 | Roscoe L. Douglas, Ph.d., P.a. | Psychologist | 1207 White Oak Dr, Meridian, MS 39305-1902 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013521053 | Shirley Home Care, LLC | Nurse's Aide | 4525 Poplar Springs Drive, Meridian, MS 39305 | 2020-09-08 |
| 1871017855 | Robbyn Lee | Nurse Practitioner | 4715 24th Place, Meridian, MS 39305 | 2017-08-01 |
| 1245686575 | Synergy Physical Therapy & Sports Medicine, LLC | Clinic/Center | 2447 47th Court, Suite F, Meridian, MS 39305 | 2016-05-05 |
| 1912305988 | Anderson Regional Medical Center | Family Medicine | 6694 Poplar Springs Drive, Meridian, MS 39305 | 2014-12-08 |
| 1861817603 | Meadowbrook Health & Rehab LLC | Skilled Nursing Facility | 211 Windmill Drive, Meridian, MS 39305 | 2014-03-04 |
| 1982042198 | Kennerh Provine Collins | Pharmacist | 2917 56th Court, Meridian, MS 39305 | 2013-06-10 |
| 1306284880 | A1 In Home Therapy | Community Health Worker | 211 North Hills Street J6, A1 In Home Therapy, Meridian, MS 39305 | 2013-06-06 |
| 1497192876 | Taylor Farland | Dentist | 2300 North Hills, Meridian, MS 39305 | 2013-05-27 |
| 1376814533 | Priscilla Miller | Nurse Practitioner | 4715 42nd Place, Meridian, MS 39305 | 2012-01-19 |
| 1497083927 | Kelley C Gowdy | Nurse Practitioner | 4711 Poplar Springs Drive, Meridian, MS 39305 | 2009-11-20 |
| Find all providers in zip 39305 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457993230 | Morgan Mental Health Group LLC | Psychologist | 4600 W Quarterhorse Ln, Meridian, ID 83642-5438 | 2019-10-12 |
| 1528595329 | Richard D Craig | Psychologist | 2178 W Windchime Dr, Meridian, ID 83646-3535 | 2017-05-11 |
| 1194075994 | Daniel Glen Gibson | Psychologist | 850 E Franklin Rd Ste 404, Meridian, ID 83642 | 2012-09-19 |
| 1285815399 | Serenity Neuropsychology, Pllc | Psychologist | 2498 N Stokesberry Pl Ste 150, Meridian, ID 83646-5150 | 2007-11-16 |
| 1225248370 | Laurie Anne Jensen | Psychologist | 2596 N Stokesberry Pl Ste 125, Meridian, ID 83646-6432 | 2007-05-23 |
| 1134248750 | Sheila Sturgeon Freitas | Psychologist | 3709 N Locust Grove Rd Ste 150, Meridian, ID 83646-5924 | 2007-03-28 |
| 1740314228 | Carolyn Suzanne Golden | Psychologist | 2076 S Eagle Rd, Meridian, ID 83642-6707 | 2007-03-15 |
| 1588673545 | View Point Associates | Psychologist | 1711 Millenium Way, Meridian, ID 83642-1511 | 2006-08-07 |
| 1750396537 | Barbara A Ottenhoff | Psychologist | 2965 E Tarpon Dr, Suite 150, Meridian, ID 83642-9009 | 2006-07-30 |
| 1427599885 | Kathleen Michaud Phd LLC | Psychologist | 2498 N Stokesberry Pl, Suite 140, Meridian, ID 83646-5150 | 2017-03-17 |
| Find all providers in MERIDIAN | ||||
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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.