Provider Demographics
NPI:1467403600
Name:SEMLER, DOUGLAS CAREY (MD)
Entity Type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:CAREY
Last Name:SEMLER
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 1:19465 DEERFIELD AVENUE
Mailing Address - Street 2:SUITE 408
Mailing Address - City:LANSDOWNE
Mailing Address - State:VA
Mailing Address - Zip Code:20176
Mailing Address - Country:US
Mailing Address - Phone:703-723-6568
Mailing Address - Fax:703-723-4298
Practice Address - Street 1:19465 DEERFIELD AVENUE
Practice Address - Street 2:SUITE 408
Practice Address - City:LANSDOWNE
Practice Address - State:VA
Practice Address - Zip Code:20176
Practice Address - Country:US
Practice Address - Phone:703-723-6568
Practice Address - Fax:703-723-4298
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101236566207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
144145OtherANTHEM
672614OtherNCPPO
321643OtherMAMSI
3556360OtherAETNA HMO
7526356OtherCIGNA
7758378OtherAETNA PPO
J8110001OtherCAREFIRST
321643OtherMAMSI
3556360OtherAETNA HMO