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BENJAMIN DOUGLAS PHYSICIAN ASSISTANT
NPI 1215496575
Physician Assistant in Apo, AP

Active since March 17, 2019
UNIT 5071 BOX MDG, APO, AP 96328(315) 225-5207 Get Directions Write a Review

NPPES record last updated: June 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 19, 2024, Mar 19, 2020, Mar 17, 2019 (3 updates tracked since 2019).

About Benjamin Douglas Physician Assistant NPPES

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

BENJAMIN DOUGLAS PHYSICIAN ASSISTANT (NPI 1215496575) is an individual physician assistant in Apo, AP and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1215496575
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameBENJAMIN DOUGLASCredential: PHYSICIAN ASSISTANT
Location AddressUNIT 5071 BOX MDGApo, AP 96328-5071
Mailing AddressUnit 5071 Box MdgApo, AP 96328-5071 · (315) 225-5207
Phone(315) 225-5207
Sole ProprietorNo
Enumeration DateMarch 17, 2019
Last NPPES UpdateJune 19, 20243 updates tracked since enumeration
NPPES CertifiedJune 19, 2024
✔ NPI 1215496575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN LEON HOLLIDAY MSW, LCSW
Social Worker (Clinical)
UNIT 5071 BOX MDG
APO, AP 96328
(315) 225-7508
DR. SEZCOV I RIVERA SANTANA PH.D.
Psychologist
UNIT 5071 BOX MDG
APO, AP 96328
(315) 225-3566
KIMBERLY LOPEZ LCSW
Social Worker (Clinical)
UNIT 5071 BOX MDG
APO, AP 96328
(315) 225-0703
MARY MARGARET PETERSEN DO
General Practice
UNIT 5071 BOX MDG
APO, AP 96328
(602) 350-6874
DR. DAVID R POOLE PT, DPT, OCS, CSCS
Physical Therapist
UNIT 5071 BOX MDG
APO, AP 96328
(315) 225-8400
DR. GRAHAM WARDEN MD
Radiology (Diagnostic Radiology)
UNIT 5071 BOX MDG
APO, AP 96328
(315) 225-7740
CAMERON LAW DO
Pediatrics
UNIT 5071 BOX MDG
APO, AP 96328
(315) 225-8864

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 Benjamin Douglas's NPI number?

The NPI number for Benjamin Douglas is 1215496575. It was assigned to this individual provider in the NPPES registry on March 17, 2019.

Where is Benjamin Douglas located?

Benjamin Douglas practices at Unit 5071 Box Mdg, Apo, AP 96328. The listed phone number is (315) 225-5207.

What is Benjamin Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Douglas was last updated on June 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.