MATTHEW JOSEPH K DOUGLAS (NPI# 1902219132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902219132 |
| Entity Type | Individual |
| Full Name | MATTHEW JOSEPH K DOUGLAS |
| Credential | M.D. |
| Practice Address |
1501 N Campbell Ave University Medical Center Tucson AZ 85721 |
| Mailing Address |
Univ Az Dept of Emergency Medicine P.o. Box 245057 Tucson AZ 85724-5057 |
| Practice Telephone | 5206267233 |
| Practice Fax Number | 5206261633 |
| Mailing Telephone | 5206267233 |
| Mailing Fax Number | 5206261633 |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | R74352 | AZ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841458452 | Matthew Scott Douglas | Physician Assistant | 473 Cabrillo Ave, Bldg 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944 | 2008-05-30 |
| 1215537097 | Matthew Douglas | Pharmacist | 14500 Us Highway 301 S, Starke, FL 32091-7858 | 2020-10-29 |
| 1245577485 | Matthew Tyler Douglas | Physical Therapist | 97 Gateway Business Park Dr, Ringgold, GA 30736-7395 | 2013-01-08 |
| 1730324476 | Matthew Alton Douglas | Nurse Anesthetist, Certified Registered | 810 Saint Vincents Dr, Birmingham, AL 35205-1601 | 2008-12-10 |
| 1770700080 | Matthew L Douglas | Internal Medicine | 1375 E 19th Ave, Denver, CO 80218-1114 | 2007-04-19 |
| 1982672671 | Matthew S Douglas | Physical Therapist | 50 Forest Falls Dr, Suite 2, Yarmouth, ME 04096-6937 | 2006-03-09 |
| Street Address |
1501 N CAMPBELL AVE UNIVERSITY MEDICAL CENTER |
| City | TUCSON |
| State | AZ |
| Zip Code | 85721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285631481 | Rebecca Adele Millius | Family Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-5085 | 2005-07-01 |
| 1730707373 | Ilaria Vittoria De Martini | Radiology | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-07-09 |
| 1427671239 | Rinku Skaria | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-27 |
| 1801419452 | Kevin Joseph Moynahan | Internal Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-18 |
| 1912529710 | Jared Holley | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-14 |
| 1558983502 | Jon Hyrum Neilson II | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-13 |
| 1588286819 | Alexander Michael Mckitrick | Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-08 |
| 1003437575 | Ashley Azizi Assadi | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-06 |
| 1003437872 | Mohammed Abbas | Orthopaedic Surgery | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-02 |
| 1578184420 | Savannah Nicole Davis | Pediatrics | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2020-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124598701 | Patti Norris | Counselor | 1224 E. Lowell St. Bldg. 95, Tucson, AZ 85721 | 2018-11-27 |
| 1275976706 | Elle Ross | Internal Medicine | 5265 E. Knight Drive, Tucson, AZ 85721 | 2013-04-15 |
| 1326237801 | Anita Ann Koshy | Psychiatry & Neurology | 1501 N Campbell Ave, 6th Floor, Department of Neurology, Tucson, AZ 85721 | 2007-10-19 |
| 1053509679 | University of Arizona | Audiologist | 1131 E. 2nd Street, Tucson, AZ 85721 | 2007-10-09 |
| 1730307083 | Trae Tashiro | Specialist/Technologist | 1 National Championship Drive, Mckale Center N108, Tucson, AZ 85721 | 2007-04-23 |
| 1275661332 | The University of Arizona College of Pharmacy | Pharmacist | 220 W 6th St. Usa B113, Tucson, AZ 85721 | 2007-03-01 |
| 1841325552 | Donald Elwood Porter | Family Medicine | 1224 East Lowell Street, Tucson, AZ 85721 | 2007-02-22 |
| 1669520730 | Linda Lundergan | Preventive Medicine | Campus Health University of Arizona, 1224 E. Lowell, Tucson, AZ 85721 | 2007-01-08 |
| 1861590242 | Cynthia Klatte | Social Worker | 1224 E. Lowell Street, Counseling & Psych. Services, Tucson, AZ 85721 | 2006-09-20 |
| 1184696122 | Stella Kidwell | Psychiatry & Neurology | 1501 N Campbell Avenue, 6th Floor, Department of Neurology, 6th Floor, Tucson, AZ 85721 | 2006-02-03 |
| Find all providers in zip 85721 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831652189 | Derek Allan Hatfield | Emergency Medicine | 1625 N Campbell Ave., Tucson, AZ 85719 | 2019-04-12 |
| 1053874305 | Travis Patrick Martin | Emergency Medicine | 1625 N. Campbell Ave, Tucson, AZ 85719 | 2019-04-12 |
| 1245793504 | Martin Cisneroz | Emergency Medicine | 1625 North Campbell Avenue, Tucson, AZ 85719 | 2019-04-12 |
| 1174086722 | Sarah Joy Ring | Emergency Medicine | 1625 N. Campbell Ave., Tucson, AZ 85719 | 2019-04-10 |
| 1487181491 | Alexander Joseph Tomesch | Emergency Medicine | 655 N Alvernon Way Ste 228, Tucson, AZ 85711-1853 | 2017-05-22 |
| 1245689108 | Mary Logsdon | Emergency Medicine | 1842 E. Elm St., Tucson, AZ 85719 | 2016-06-10 |
| 1053791749 | Eric Lederer | Emergency Medicine | 3950 S. Country Club Rd, Ste. 200, Tucson, AZ 85713 | 2015-06-08 |
| 1811377476 | Nicholas Hernandez | Emergency Medicine | 3950 S Country Club Rd Ste 200, Tucson, AZ 85714-2227 | 2015-06-08 |
| 1710366851 | Justin Eales | Emergency Medicine | Banner University Medical Center 1501 N Ave, Tucson, AZ 85724-0001 | 2015-05-21 |
| 1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
| Find all providers in TUCSON | ||||
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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.