1467403600 NPI number — DOUGLAS CAREY SEMLER MD

Table of content: MUHAMMAD E BA'ATH MD (NPI 1790036648)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467403600 NPI number — DOUGLAS CAREY SEMLER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SEMLER
Provider First Name:
DOUGLAS
Provider Middle Name:
CAREY
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467403600
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/23/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
19465 DEERFIELD AVENUE
Provider Second Line Business Mailing Address:
SUITE 408
Provider Business Mailing Address City Name:
LANSDOWNE
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20176
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
703-723-6568
Provider Business Mailing Address Fax Number:
703-723-4298

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
19465 DEERFIELD AVENUE
Provider Second Line Business Practice Location Address:
SUITE 408
Provider Business Practice Location Address City Name:
LANSDOWNE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
20176
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
703-723-6568
Provider Business Practice Location Address Fax Number:
703-723-4298
Provider Enumeration Date:
05/12/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  0101236566 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 144145 . This is a "ANTHEM" identifier . This identifiers is of the category "OTHER".
  • Identifier: 672614 . This is a "NCPPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 321643 . This is a "MAMSI" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3556360 . This is a "AETNA HMO" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7526356 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 7758378 . This is a "AETNA PPO" identifier . This identifiers is of the category "OTHER".
  • Identifier: J8110001 . This is a "CAREFIRST" identifier . This identifiers is of the category "OTHER".




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