WILLIAM DOUGLAS (NPI# 1780821058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780821058 |
| Entity Type | Individual |
| Full Name | WILLIAM DOUGLAS |
| Credential | LPN |
| Practice Address |
1709 Madison Ave West Islip NY 11795-1726 |
| Practice Telephone | 6315873136 |
| Mailing Telephone | 6315873136 |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2009-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 236107 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881240323 | William H Douglas | Technician | 1415 Stellar Dr, Oviedo, FL 32765-9685 | 2019-08-12 |
| 1538690722 | William Hamilton Douglas IIi | Counselor | 2156 Wooddale Blvd., Ste 750, Baton Rouge, LA 70806 | 2017-03-21 |
| 1023432440 | William Douglas | Developmental Therapist | 653 Monument Rd Apt 732, Jacksonville, FL 32225-7401 | 2014-02-05 |
| 1316052822 | William Michael Douglas | Speech-Language Pathologist | Medical Center East South Tower 1215 21st Ave S, 6422, Nashville, TN 37232-8718 | 2006-08-21 |
| 1285654285 | William Ladell Douglas | Pediatrics | 100 E 20th St, Suite B, Hope, AR 71801-8213 | 2006-07-20 |
| 1639724321 | William Conrad Douglas | Case Manager/Care Coordinator | 611 Railroad St, Ironton, OH 45638-1446 | 2019-08-08 |
| 1881049153 | William Douglas | Student in an Organized Health Care Education/Training Program | 4802 10th Ave, Maimonides Medical Center, Brooklyn, NY 11219-2916 | 2016-04-25 |
| 1255798633 | William Douglas | Case Manager/Care Coordinator | 6055 E Washington Blvd Ste 900, Commerce, CA 90040-2453 | 2016-01-15 |
| 1477793727 | William Glen Hammond Douglas | General Practice | 200 E Hackett Rd, Modesto, CA 95358-9415 | 2009-02-26 |
| 1407812910 | William Ian Douglas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-04-24 |
| Street Address |
1709 MADISON AVE |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-1726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770139404 | Nicole Marie Merendino | Licensed Practical Nurse | 14 Myson St, West Islip, NY 11795-2704 | 2019-08-19 |
| 1710414404 | Jessica Frigano | Licensed Practical Nurse | 130 Gladstone Ave, West Islip, NY 11795-3630 | 2017-05-12 |
| 1194172395 | Alison Cronin | Licensed Practical Nurse | 12 Anthony Dr, West Islip, NY 11795-2340 | 2016-05-17 |
| 1154790921 | Stephanie Cantante | Licensed Practical Nurse | 14 Dubois Rd, West Islip, NY 11795-3905 | 2015-09-22 |
| 1679954200 | Ryan E Goodrich | Licensed Practical Nurse | 57 Butler St, West Islip, NY 11795-3527 | 2015-06-09 |
| 1891174819 | Rosemary Accomando | Licensed Practical Nurse | 532 Milligan Ln Apt 3c, West Islip, NY 11795-3402 | 2015-05-22 |
| 1215314851 | Jaimie A Schneller I | Licensed Practical Nurse | 66 Altmar Ave, West Islip, NY 11795-1025 | 2015-05-04 |
| 1942547310 | Megan Hope Budd | Licensed Practical Nurse | 96 Udalia Ct, West Islip, NY 11795-3217 | 2013-01-05 |
| 1700132255 | Dylan Michael Lebourveau | Licensed Practical Nurse | 1145 Montauk Hwy Ste 1, West Islip, NY 11795-4909 | 2012-08-01 |
| 1164777330 | Kelly A Bivona | Licensed Practical Nurse | 1256 Madison Ave, West Islip, NY 11795-1717 | 2012-07-13 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
Please comment or provide details below to improve the information on WILLIAM 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.