DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JODI DOUGLAS

MEDICARE: JODI DOUGLAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1053265595
Entity Type Code : Individual
Provider Name (Legal Business Name) : JODI DOUGLAS
Provider Business Mailing Address
First Line : 328 MAPLE AVE
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-3189
Country : US
Telephone Number : 304-816-2353
Fax Number :
Provider Business Practice Location Address
First Line : 328 MAPLE AVE
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-3189
Country : US
Telephone Number : 304-816-2353
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2026
Last Update Date : 02/23/2026

Similar Medicare Providers

1992705396 — WILLIAM M TRACHTENBERG M.D.
Practice Location Address:
1739 W FAIRMONT ST
ALLENTOWN, PA
18104-3189
Practice Phone: 610-437-4988
Practice Fax: 610-437-4176
1659371060 — HOUMAN AHDIEH M.D.
Practice Location Address:
1739 W FAIRMONT ST
ALLENTOWN, PA
18104-3189
Practice Phone: 610-437-4988
Practice Fax: 610-437-4176
1609876994 — DANIEL I ROSS M.D.
Practice Location Address:
1739 W FAIRMONT ST
ALLENTOWN, PA
18104-3189
Practice Phone: 610-437-4988
Practice Fax: 610-437-4176
1629056312 — MRS. MARIA LUISA PANAYOTOVA MD
Practice Location Address:
1739 W FAIRMONT ST
ALLENTOWN, PA
18104-3189
Practice Phone: 610-437-4988
Practice Fax:
1801865951 — DR. MICHAEL COLEMAN ROWLAND D.D.S.
Practice Location Address:
1739 W FAIRMONT ST
ALLENTOWN, PA
18104-3189
Practice Phone: 610-435-5707
Practice Fax: 610-435-5143
1902835788 — LEHIGH VALLEY CENTER FOR SIGHT PC
Practice Location Address:
1739 W FAIRMONT ST
ALLENTOWN, PA
18104-3189
Practice Phone: 610-437-4988
Practice Fax: 610-437-4176

Directions to “ JODI DOUGLAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.