Provider Demographics
NPI:1114051448
Name:MACFARLANE, DOUGLAS BRUCE (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:BRUCE
Last Name:MACFARLANE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20375 W 151ST ST
Mailing Address - Street 2:#200
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061-7218
Mailing Address - Country:US
Mailing Address - Phone:913-782-3073
Mailing Address - Fax:913-782-5015
Practice Address - Street 1:20375 W 151ST ST
Practice Address - Street 2:#200
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061-7218
Practice Address - Country:US
Practice Address - Phone:913-782-3073
Practice Address - Fax:913-782-5015
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS207V00000X207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100200390BMedicaid
KSC51750Medicare UPIN
KS100200390BMedicaid