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NPI Code Detail

MEDICARE: DR. DOUGLAS PHILLIPS WEBB MD

MEDICARE:  DR. DOUGLAS PHILLIPS WEBB  MD
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
1207W00000XOphthalmology Physician49445OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000234684OTHEROHUNISON
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3000000558046OTHEROHANTHEM
4415191OTHEROHWELLCARE
5000000133247OTHEROHANTHEM
6732196OTHEROHBUCKEYE

General Provider Information

NPI Number : 1366443764
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DOUGLAS PHILLIPS WEBB MD
Provider Business Mailing Address
First Line : 850 BRAINARD RD
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-3146
Country : US
Telephone Number : 440-442-8329
Fax Number : 440-442-9088
Provider Business Practice Location Address
First Line : 850 BRAINARD RD
Second Line :
City : HIGHLAND HEIGHTS
State : OH
Zip : 44143-3146
Country : US
Telephone Number : 440-442-8329
Fax Number : 440-442-9088
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/25/2011

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