DOUGLAS SCOTT TICE (NPI# 1942314620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942314620 |
| Entity Type | Individual |
| Full Name | DOUGLAS SCOTT TICE |
| Credential | MD |
| Practice Address |
309 Medical Ct Martinsburg WV 25401-2843 |
| Practice Telephone | 3042630953 |
| Practice Fax Number | 3042635826 |
| Mailing Telephone | 3042630953 |
| Mailing Fax Number | 3042635826 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-05-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 16852 | WV | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 200400986 | NC | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | D53001 | MD | Allopathic & Osteopathic Physicians |
| Y | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
16852 | WV | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
200400986 | NC | Allopathic & Osteopathic Physicians |
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
D53001 | MD | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1464 Jefferson St N, Lewisburg, WV 249011380 | 3046453220 | 3047932491 |
| Street Address |
309 MEDICAL CT |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25401-2843 |
| 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 | 207XX0801X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Orthopaedic Trauma |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic trauma surgeons deal with the evaluation and management of acute orthopaedic injuries, evaluation and treatment of post-traumatic deformities and nonunions, acute and delayed reconstruction of pelvic and acetabular fractures, as well as osteotomy in the adult hip for treatment of hip arthritis. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871040626 | West Virginia Orthopedic Trauma Inc | Orthopaedic Surgery | 120 Professional Park, Beckley, WV 25801-3623 | 2016-09-08 |
| 1578960399 | Raleigh General Hospital LLC | Orthopaedic Surgery | 1717 Harper Rd Fl 2, Suite D, Beckley, WV 25801-3373 | 2014-11-21 |
| 1932373198 | Ereny Magdy Bishara | Orthopaedic Surgery | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2008-04-18 |
| 1487865507 | Michelle Bramer | Orthopaedic Surgery | Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2007-05-24 |
| 1942417381 | Jessica C. Chiang | Orthopaedic Surgery | 415 Morris St, Suite 201, Charleston, WV 25301-1842 | 2007-05-16 |
| 1174619951 | David F Hubbard | Orthopaedic Surgery | 1 Stadium Drive, Morgantown, WV 26506 | 2006-10-05 |
| City | MARTINSBURG |
| Zip Code | 25401 |
Please comment or provide details below to improve the information on DOUGLAS SCOTT TICE.
| 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.