Physician Compare National (NPI:1851385793)

HEALTHCARE PROVIDER: DONALD STRATTON DOUGLAS M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1851385793
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4688659998
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040721000300
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	DOUGLAS
	Individual professional last name
Provider First Name	DONALD
	Individual professional first name
Provider Middle Name	STRATTON
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
	Individual professional's medical school
Graduation Year	1996
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ALLERGY/IMMUNOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ALLERGY/IMMUNOLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1819 MOORES LN
	Group Practice or individual's line 1 address
City	TEXARKANA
	Group Practice or individual's city
State	TX
	Group Practice or individual's state
Zip Code	755034611
	Group Practice or individual's zip code (9 digits when available)
Phone Number	9037933161
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450801
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	CHRISTUS ST MICHAEL HEALTH SYSTEM
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450200
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	WADLEY REGIONAL MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	040067
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	MAGNOLIA HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	M