Dr. Dane Edward Douglas , MD
Specialist • Memphis, TN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dane Douglas has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dane Douglas, MD was a registered Specialist practicing in Memphis, TN. Throughout an active medical career spanning 13 years, Dr. Douglas provided care at the practice location at 6401 POPLAR AVE until profile deactivation on 2019-01-29.
Practice Location & Contact Primary Location
6401 Poplar Ave
# 402
Memphis, TN 381194823
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Memphis, TN
Practicing in Memphis, TN (784 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Ophthalmology
Doctor of Medicine (M.D.)
Plastic Surgery
Doctor of Medicine (M.D.)
Ophthalmology
Doctor of Medicine (M.D.)
Specialist
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 29, 2019
NPI status registered as active in NPPES database
Registered at 6401 POPLAR AVE, # 402, MEMPHIS, TN 381194823 (Tel: 9016242788)
Registered at 2985 CANNING CV, MEMPHIS, TN 381198745 (Tel: 9013090880)
Recorded as DANE DOUGLAS, M.D.
Specialist (License #21716 in TN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2985 Canning Cv
Memphis, TN 381198745
Phone: 9013090880
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