Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447362090 Individual Practitioner Male Practitioner

Dr. Douglas William Mckibbin , MD

Specialist • Fishersville, VA

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Mckibbin, MD is a registered healthcare professional specializing in Specialist in Fishersville, VA. Practice services are available at 70 MEDICAL CENTER CIR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

70 Medical Center Cir
Suite 308

Fishersville, VA 229392273

Telephone 5409325909
Fax 5409325910
Associated Practice Facility / Clinic
🏢 Blue Ridge Pathologists Pc Facility NPI 1740281393

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fishersville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
6 Specialists

Practicing in Fishersville, VA (878 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101035838

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
7305117 (VA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

31 Associated Practitioners
Dr. Melissa Robinson , DO

Psychiatry & Neurology - Psychiatry

NPI 1134121056

Doctor of Osteopathic Medicine (D.O.)

Dr. William Toomy , MD

Internal Medicine

NPI 1164484184

Doctor of Medicine (M.D.)

NPI 1174511349

Doctor of Medicine (M.D.)

Robert Burke , PA-C

Physician Assistant - Medical

NPI 1174519839

Physician Assistant (Certified)

Dr. Gary Murray , MD

Internal Medicine - Cardiovascular Disease

NPI 1205813367

Doctor of Medicine (M.D.)

Dr. Jack Otteni , MD

Orthopaedic Surgery

NPI 1205885597

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 18, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 18, 2013

Registered at 70 MEDICAL CENTER CIR, SUITE 308, FISHERSVILLE, VA 229392273 (Tel: 5409325909)

📍
Updated Business Mailing Address July 18, 2013

Registered at 70 MEDICAL CENTER CIR, SUITE 308, FISHERSVILLE, VA 229392273 (Tel: 5409325909)

👤
Provider Name / Credentials Updated July 18, 2013

Recorded as DOUGLAS MCKIBBIN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 18, 2013

Specialist (License #0101035838 in VA)

🟢
Initial NPI Registration & Enumeration August 31, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447362090
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 31, 2006
Last Update: July 18, 2013
Sole Proprietor: No

Mailing Address

70 Medical Center Cir, Suite 308

Fishersville, VA 229392273

Phone: 5409325909

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.