Healthcare Provider Details

I. General information

NPI: 1821126673
Provider Name (Legal Business Name): DOUGLAS SATCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 12/13/2024
Certification Date: 12/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 MARY STREET
EVANSVILLE IN
47747-1701
US

IV. Provider business mailing address

PO BOX 962714
RIVERDALE GA
30296-6927
US

V. Phone/Fax

Practice location:
  • Phone: 812-450-3036
  • Fax: 812-450-2193
Mailing address:
  • Phone: 770-907-0070
  • Fax: 770-996-5950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01076790A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number028644
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number01076790A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: