Michael Douglas (NPI# 1902169543, PAC ID# 7810260528) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1902169543 |
| PAC ID by PECOS | 7810260528 |
| Professional Enrollment ID | I20170831001039 |
| Full Name | Michael Douglas |
| Organization Legal Name | BLOUNT MEMORIAL PHYSICIAN GROUP INC |
| Address |
425 Bmh Physicians Office Bldg Maryville TN 37804-5807 |
| Phone Number | 8659805244 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6406844174 |
| Number of Group Practice Members | 185 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440011 | BLOUNT MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 425 Bmh Physicians, Office Bldg, Maryville, TN 37804-5807 | 8659805244 | BLOUNT MEMORIAL PHYSICIAN GROUP INC |
| Organization Legal Name | BLOUNT MEMORIAL PHYSICIAN GROUP INC |
| Physicians | 187 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heath Long | Nurse Practitioner | Blount Memorial Physician Group Inc | 355 Bmh Physician, Office Bldg, Maryville, TN 37804-5820 |
| Rebecca Sue Lavelle | Urology | Blount Memorial Physician Group Inc | 425 Bmh Physicians, Office Bldg, Maryville, TN 37804-5807 |
| John T Gay | Dermatology | Blount Memorial Physician Group Inc | 232 Associates Blvd, Alcoa, TN 37701-1943 |
| Lauren E Cline | Internal Medicine | Blount Memorial Physician Group Inc | 230 Associates Blvd, Alcoa, TN 37701-1943 |
| Benjamin P Blodgett | Podiatry | Blount Memorial Physician Group Inc | 463 Bmh Physician, Office Bldg, Maryville, TN 37804-5807 |
| Robert M Jones | Critical Care (intensivists) | Blount Memorial Physician Group Inc | 365 Bmh Physicians, Office Bldg, Maryville, TN 37804-5820 |
| Paul Harvey Holcomb Jr. | Cardiovascular Disease (cardiology) | Blount Memorial Physician Group Inc | 162 Bmh Physician, Office Bldg, Maryville, TN 37804-5902 |
| Kellie R Gaby | Nurse Practitioner | Blount Memorial Physician Group Inc | 266 Joule St, Alcoa, TN 37701-2422 |
| Sarah E Smith | Endocrinology | Blount Memorial Physician Group Inc | 370 Bmh Physicians, Office Bldg, Maryville, TN 37804-5819 |
| William E Lyles | Gastroenterology | Blount Memorial Physician Group Inc | 349 Bmh Physicians, Office Bldg, Maryville, TN 37804-5820 |
| Street Address |
425 BMH PHYSICIANS OFFICE BLDG |
| City | MARYVILLE |
| State | TN |
| Zip | 37804-5807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebecca Sue Lavelle | Urology | Blount Memorial Physician Group Inc | 425 Bmh Physicians, Office Bldg, Maryville, TN 37804-5807 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary K Poese | Physician Assistant | Carole L Long Md PC | 2036 Chilhowee, Professional Bldg, Maryville, TN 37804-0001 |
| Paul D Rook | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Natalie H Mcamis | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Elisabeth J Galloway | Qualified Audiologist | Blount Hearing and Speech Services, Inc. | 1617 E Broadway, Maryville, TN 37804-2913 |
| Sharon N Chastain | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Tracy Gibson Grabman | Psychiatry | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Angela L Obear | Clinical Social Worker | Helen Ross Mcnabb Center | 1704 E Broadway Ave, Maryville, TN 37804-2916 |
| Shannon E Everette | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Renee J Hyatt | Internal Medicine | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Traci C Grime | Nurse Practitioner | Blount Senior Care Partners, Pllc | 2648 Sevierville Rd, Maryville, TN 37804-3643 |
| Find all physicians in zip 37804 | |||
| City | MARYVILLE |
| Zip Code | 37804 |
| Specialty | UROLOGY |
| City + Specialty | MARYVILLE + UROLOGY |
Please comment or provide details below to improve the information on Michael 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.