MR. DOUGLAS FLOYD FACKLER PA-C
NPI 1053402826
Physician Assistant - Medical in Evansville, IN

Q: What is Douglas Fackler's NPI number?

The NPI number for Douglas Fackler is 1053402826. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Douglas Fackler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Douglas Fackler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2006

EVANSVILLE VA OUTPATIENT CLINIC, 500 E. WALNUT, EVANSVILLE, IN 47713(812) 465-6202(812) 465-6201 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Douglas Floyd Fackler Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS FLOYD FACKLER PA-C (NPI 1053402826) is an individual medical provider in Evansville, Indiana, licensed in Texas (PA00512) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1053402826

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DOUGLAS FLOYD FACKLERCredential: PA-C

Location AddressEVANSVILLE VA OUTPATIENT CLINIC, 500 E. WALNUTEvansville, IN 47713

Mailing Address143 Pennyrile DrMadisonville, KY 42431-9219

Phone(812) 465-6202

Fax(812) 465-6201

Sole ProprietorNo

Enumeration DateSeptember 27, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1053402826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in TX · PA00512

EVANSVILLE VA OUTPATIENT CLINIC, Evansville, IN 47713

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Fackler's NPI number?

The NPI number for Douglas Fackler is 1053402826. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Douglas Fackler located?

Douglas Fackler practices at Evansville VA Outpatient Clinic 500 E. Walnut, Evansville, IN 47713. The listed phone number is (812) 465-6202.

What is Douglas Fackler's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Douglas Fackler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.