MR. DOUGLAS A. NORTH PA-C
NPI 1720071186
Physician Assistant - Medical in Penasco, NM

Q: What is Douglas North's NPI number?

The NPI number for Douglas North is 1720071186. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Q: What is Douglas North'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 North was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 August 31, 2005

15136 ST. RD. 75, PENASCO, NM 87553(575) 587-2205(575) 587-1944 Get Directions Write a Review

NPPES record last updated: July 15, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Douglas A. North Pa-c NPPES

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

MR. DOUGLAS A. NORTH PA-C (NPI 1720071186) is an individual medical provider in Penasco, New Mexico, licensed in New Mexico (2001-PA27) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1720071186

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. DOUGLAS A. NORTHCredential: PA-C

Location Address15136 ST. RD. 75Penasco, NM 87553-0238

Mailing AddressPo Box 158, 538 N. Paseo De OnateEspanola, NM 87532-0158 · (505) 753-7218 · Fax (505) 753-5815

Phone(575) 587-2205

Fax(575) 587-1944

Sole ProprietorNo

Enumeration DateAugust 31, 2005

Last NPPES UpdateJuly 15, 2013

✔ NPI 1720071186 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 NM · 2001-PA27

15136 ST. RD. 75, Penasco, NM 87553

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Other Identifiers 2

OtherNM400307NM · Medicare Ptan

Medicaid81958757NM

Other Providers at the Same Location NPPES 2

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

DAVID N GOULD PA-C

Physician Assistant (Medical)

15136 ST. RD. 75, EL CENTRO FAMILY HEALTH PENASCO MEDICAL CLINIC
PENASCO, NM 87553

Taos County (575) 587-2205

RACHEL MOORE RDH

Dental Hygienist

15136 ST. RD. 75, EL CENTRO FAMILY HEALTH PENASCO DENTAL CLINIC
PENASCO, NM 87553

Taos County (575) 587-2809

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 North's NPI number?

The NPI number for Douglas North is 1720071186. It was assigned to this individual provider in the NPPES registry on August 31, 2005.

Where is Douglas North located?

Douglas North practices at 15136 St. Rd. 75, Penasco, NM 87553. The listed phone number is (575) 587-2205.

What is Douglas North'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 North was last updated on July 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.