Dr. Douglas Scott Hamblin

Address: 5685 Inland Shores Way, Keizer, OR 97303
Phone: 5037792271

Dr. Douglas Scott Hamblin (NPI# 1326299843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1326299843
Entity Type Individual
Full Name Dr. Douglas Scott Hamblin
Credential M.D.
Gender Male
Practice Address 5685 Inland Shores Way
OR 97303
Practice Telephone 5037792271
Practice Fax Number 5037792272
Mailing Address Po Box 278
OR 97071-0278
Mailing Telephone 9719835260
Mailing Fax Number 9719835326
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2008-10-02
Last Update Date 2017-05-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 208000000X Pediatrics Allopathic & Osteopathic Physicians MD167314 OR
No 208000000X Pediatrics Allopathic & Osteopathic Physicians ME104220 FL
No 208M00000X Hospitalist Allopathic & Osteopathic Physicians 104220 FL

Other Provider Identifier

State Identifier Issuer Type Code
FL 001217400 MEDICAID

Physician Overview

NPI 1326299843
PAC ID by PECOS 6800948738
Professional Enrollment ID I20141001002053
Full Name Douglas S Hamblin
Organization Legal Name SILVERTON HEALTH
Phone Number 5037792271
Gender M
Graduation Year 2006
Group Practice PAC ID 8921901877
Number of Group Practice Members 72
Accepts Medicare Assignment Y

Taxonomy Information

Taxonomy Code 208000000X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics

Taxonomy Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1114558368 Oregon Pediatrics-oregon City, PC Pediatrics 1510 Division St Ste 80, Oregon City, OR 97045-1572 2020-01-27
1962911347 Bend Kids Pediatrics, LLC Pediatrics 2748 Nw Crossing Dr Ste 140, Bend, OR 97703-7179 2017-09-28
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1235660176 Erik Grimm Pediatrics 16463 Boones Ferry Rd Ste 400, Lake Oswego, OR 97035-4377 2017-03-22
1891178885 Snake River Pediatrics Pediatrics 1050 Sw 3rd Ave Ste 3200, Ontario, OR 97914-4560 2015-07-08
1447663810 Anh Linh Hoang Pediatrics 9243 Ne Glisan St, Portland, OR 97220-4533 2014-06-03
1891126538 Sydmarie Bisenius Pediatrics 24850 Se Stark St Ste 150, Gresham, OR 97030-8318 2013-12-05
1427499367 Elizabeth Bish Young Pediatrics 901 Bellwood Ln, Roseburg, OR 97471-9299 2013-07-08
1255771671 Steven Donald Mcgaughey Pediatrics Ohsu Doernbecher, 3181 Sw Sam Jackson Park Road, Portland, OR 97239-1002 2013-06-29
1508109539 Ramya Mishra Jariwala Pediatrics 9155 Sw Barnes Rd Ste 840, Portland, OR 97225 2013-03-28
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Office Location

Street Address 5685 INLAND SHORES WAY
State OR
Zip Code 97303

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649750175 Kristin Marie Barz Behavior Analyst 4690 12th Ave Ne, Keizer, OR 97303 2018-08-15
1003359605 Angela Rose Richard Community Health Worker 3410 Cherry Avenue Ne, Keizer, OR 97303 2016-11-30
1881146629 Alma Denise Vera Dental Hygienist 5825 Shoreview Lane Ste C, Keizer, OR 97303 2016-10-27
1679919849 Ramya Shyamala Kamath Dentist 4817 River Rd N, Keizer, OR 97303 2013-05-15
1356682041 Teresa M Treinen Physical Therapist 190 Sandy Drive N, Keizer, OR 97303 2013-03-06
1598001844 Eagle Eye Vision Care LLC Optometrist 4048 River Road North, Keizer, OR 97303 2012-12-13
1245590553 Thora Jane Stacy Dental Assistant 2300 N.e. Lacncaster Dr., Salem, OR 97303 2012-05-21
1295028850 Rodger Nordskog Magnuson Pharmacist 5452 River Road N., Keizer, OR 97303 2011-05-16
1639333727 Joel M Suckow Psychiatry & Neurology 773 Linda Ave Ne, Keizer, OR 97303 2008-07-17
1982870382 Debra Kaye Lynch Podiatrist 4905 River Road N, Keizer, OR 97303 2008-05-06
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Zip Code 97303

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.