Active NPIIndividual provider

Douglas Fellows, PA-C

Physician Assistant, Surgical in Worcester, Massachusetts

NPI Number1407940752
Practice location
123 Summer St, Suite #535, Worcester, MA 01608-1216
Fax
—
Last updated
July 8, 2007

Douglas Fellows is a Physician Assistant, Surgical based in Worcester, MA. Douglas Fellows practices in Worcester, MA and has the professional credentials of PA-C. The NPI Number for Douglas Fellows is 1407940752 and holds a License No. AP 42 (MA). The current practice location address for Douglas Fellows is 123 Summer St, Suite #535, Worcester, MA 01608-1216 and can be reached out via phone at 508-363-6363.

Provider Profile Details

NPI Number
1407940752
Provider Name
Douglas Fellows
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
123 Summer St, Suite #535, Worcester, MA 01608-1216
Phone Number
508-363-6363
Primary Taxonomy
Physician Assistant, Surgical · 363AS0400X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
123 Summer St
Suite #535
Worcester, MA 01608-1216
Zip
01608-1216
Phone Number
508-363-6363
Worcester, MA 01608Get directions →

Provider Business Mailing Address Details

Address
162 Brookline St
Worcester, MA 01603-1634
City
Worcester
State
MA
Zip
01603-1634

License Information

License Number
AP 42
License State
MA
Taxonomy
Physician Assistant, Surgical · 363AS0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Douglas Fellows, PA-C?

The NPI number of Douglas Fellows, PA-C is 1407940752. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Douglas Fellows, PA-C?

Douglas Fellows, PA-C is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in MA under license number AP 42.

Where does Douglas Fellows, PA-C practice?

The practice location is 123 Summer St, Suite #535, Worcester, MA 01608-1216. The office can be reached at 508-363-6363 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407940752 directly on the NPPES registry website.

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