David W Douglas (NPI# 1154340420, PAC ID# 5799712782) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1154340420 |
| PAC ID by PECOS | 5799712782 |
| Professional Enrollment ID | I20050721000202 |
| Full Name | David W Douglas |
| Organization Legal Name | CONGENIAL HEALTHCARE LLC |
| Address |
330 Lynnway Suite 109a Lynn MA 01901-1713 |
| Phone Number | 7815936005 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 5395011522 |
| Number of Group Practice Members | 12 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 220171 | LAHEY HOSPITAL & MEDICAL CENTER, BURLINGTON |
| 220035 | NORTH SHORE MEDICAL CENTER - |
| Address | Phone | Organization |
|---|---|---|
| 330 Lynnway, Suite 109a, Lynn, MA 01901-1713 | 7815936005 | CONGENIAL HEALTHCARE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 88% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 23% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 88% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 15% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 15% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 83% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 2% |
| Organization Legal Name | CONGENIAL HEALTHCARE LLC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dominica C Costello | Endocrinology | Congenial Healthcare LLC | 147 S Main St, Middleton, MA 01949-2446 |
| Prathima V Reddy | Internal Medicine | Congenial Healthcare LLC | 1 Walton St, Wakefield, MA 01880-1209 |
| Alain A Chaoui | Family Medicine | Congenial Healthcare LLC | 1 Roosevelt Ave, Suite 201, Peabody, MA 01960-2227 |
| Meghan L Tramontozzi | Family Medicine | Congenial Healthcare LLC | 147 S Main St, Middleton, MA 01949-2446 |
| Carolyn Mancini | Nurse Practitioner | Congenial Healthcare LLC | 1 Roosevelt Ave, Suite 201, Peabody, MA 01960-2227 |
| Mark E Allara | Family Medicine | Congenial Healthcare LLC | 147 S Main St, Middleton, MA 01949-2446 |
| Dana Ann D Mann | Family Medicine | Congenial Healthcare LLC | 147 S Main St, Middleton, MA 01949-2446 |
| Erica C Ouellette | Registered Dietitian Or Nutrition Professional | Congenial Healthcare LLC | 147 S Main St, Middleton, MA 01949-2446 |
| Suzanne C Baughn | Nurse Practitioner | Congenial Healthcare LLC | 1 Roosevelt Ave, Suite 201, Peabody, MA 01960-2227 |
| Michael Y Yoon | Family Medicine | Congenial Healthcare LLC | 147 S Main St, Middleton, MA 01949-2446 |
| Street Address |
330 LYNNWAY SUITE 109A |
| City | LYNN |
| State | MA |
| Zip | 01901-1713 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph E Talbot | Psychiatry | 330 Lynnway, Suite 364, Lynn, MA 01901-1713 | |
| Neil D Gross | Ophthalmology | 330 Lynnway, Suite 335, Lynn, MA 01901-1713 | |
| Robert J Van Wittenberghe | Psychiatry | Robert Van Wittenberghe,md,llc | 330 Lynnway, Suite 101, Lynn, MA 01901-1713 |
| Yoshiharu Akabane | Psychiatry | Yoshiharu Akabane PC | 330 Lynnway, Lynn, MA 01901-1708 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Evan K Margetson | Clinical Social Worker | 1 Market St, 204b, Lynn, MA 01901-1011 | |
| Joseph S Oconnor Jr. | Physical Therapy | Advance Physical Therapy and Sport Rehab | 1 Market St, Suite 3, Lynn, MA 01901-1044 |
| Bergomy Jeannis | Physical Therapy | Advance Physical Therapy and Sport Rehab | 1 Market St, Suite 3, Lynn, MA 01901-1044 |
| Maria I Saleme | Clinical Social Worker | 112 Central Ave, Lynn, MA 01901-1050 | |
| John Murray | Clinical Social Worker | 68 Market St, Suite 201, Lynn, MA 01901-1115 | |
| Bridget M Doherty | Certified Clinical Nurse Specialist (cns) | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Sherryl J Rosen | Certified Clinical Nurse Specialist (cns) | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Elizabeth J Reimherr | Certified Clinical Nurse Specialist (cns) | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Laura Omeara | Clinical Social Worker | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| John P Reimherr | Psychiatry | Psychiatric Associates of Lynn PC | 173 Oxford St, Lynn, MA 01901-1117 |
| Find all physicians in zip 01901 | |||
| City | LYNN |
| Zip Code | 01901 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LYNN + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David W 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.