Sean T Douglas, PA-C
Physician Assistant in Pittsfield, Massachusetts
1689122129- Practice location
- 999 Dalton Ave, Pittsfield, MA 01201-2903
- Phone
- 413-242-6577
- Fax
- —
- Last updated
- November 15, 2023
Sean T Douglas is a Physician Assistant based in Pittsfield, MA. Sean T Douglas practices in Pittsfield, MA and has the professional credentials of PA-C. The NPI Number for Sean T Douglas is 1689122129 and holds a License No. 019994-1 (NY). The current practice location address for Sean T Douglas is 999 Dalton Ave, Pittsfield, MA 01201-2903 and can be reached out via phone at 413-242-6577.
Provider Profile Details
- NPI Number
- 1689122129
- Provider Name
- Sean T Douglas
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 999 Dalton Ave, Pittsfield, MA 01201-2903
- Phone Number
- 413-242-6577
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 13, 2016
- Last Update Date
- November 15, 2023
- Certification Date
- November 15, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 999 Dalton Ave
Pittsfield, MA 01201-2903 - City
- Pittsfield
- State
- Massachusetts
- Zip
- 01201-2903
- Phone Number
- 413-242-6577
Provider Business Mailing Address Details
- Address
- 360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105 - City
- Portsmouth
- State
- NH
- Zip
- 03801-7105
- Phone Number
- 603-410-6700
- Fax Number
- 603-319-8308
License Information
- License Number (1)
- 019994-1
- License State (1)
- NY
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA5886
- License State (2)
- MA
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Sean T Douglas, PA-C?
The NPI number of Sean T Douglas, PA-C is 1689122129. It was assigned on September 13, 2016 and is currently active in the NPPES registry.
What is the specialty of Sean T Douglas, PA-C?
Sean T Douglas, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 019994-1.
Where does Sean T Douglas, PA-C practice?
The practice location is 999 Dalton Ave, Pittsfield, MA 01201-2903. The office can be reached at 413-242-6577 (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 1689122129 directly on the NPPES registry website.