Jerry L Douglas (NPI# 1841394939, PAC ID# 0941256473) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1841394939 |
| PAC ID by PECOS | 0941256473 |
| Professional Enrollment ID | I20050328000514 |
| Full Name | Jerry L Douglas |
| Address |
2121 Hubbard Ave Rm 154 Decatur IL 62526-2876 |
| Phone Number | 2175202927 |
| Gender | M |
| Credential | CSW |
| Graduation Year | 2001 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2121 Hubbard Ave, Rm 154, Decatur, IL 62526-2876 | 2175202927 | |
| 2121 Hubbard Ave, Decatur, IL 62526-2876 | 2175202927 |
| Street Address |
2121 HUBBARD AVE RM 154 |
| City | DECATUR |
| State | IL |
| Zip | 62526-2876 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Pamela Starr Burkhart | Clinical Social Worker | 3040 N University Ave, Suite 2, Decatur, IL 62526-1393 | |
| Randy C Kneezel | Oral Surgery | Jurgens and Kneezel Ltd | 2727 N Oakland Ave, Decatur, IL 62526-1586 |
| Meera Yerrabolu | Internal Medicine | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Richard Dilorenzo | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Sudhakar K Sheth | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Ralph P Zehler Iii | Physician Assistant | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Victor Eloy | Gastroenterology | Decatur Memorial Hospital | 2 Memorial Dr, Suite 101, Decatur, IL 62526-1589 |
| Douglas J Dove | Neurology | 2 Memorial Dr, Suite 200, Decatur, IL 62526-1590 | |
| Oliver N R Dold | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
| Ratul Raychaudhuri | Neurosurgery | Decatur Memorial Hospital | 2 Memorial Dr, Suite 207, Decatur, IL 62526-1592 |
| Find all physicians in zip 62526 | |||
| City | DECATUR |
| Zip Code | 62526 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | DECATUR + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jerry L Douglas.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.