Provider Demographics
NPI:1588668974
Name:HAMPERS, DOUGLAS ANTHONY (MD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:ANTHONY
Last Name:HAMPERS
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 1:463 BRUSH RUN RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-8705
Mailing Address - Country:US
Mailing Address - Phone:724-691-0741
Mailing Address - Fax:724-468-0084
Practice Address - Street 1:463 BRUSH RUN RD
Practice Address - Street 2:SUITE 200
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-8705
Practice Address - Country:US
Practice Address - Phone:724-691-0741
Practice Address - Fax:724-468-0084
Is Sole Proprietor?:No
Enumeration Date:2005-06-13
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101242016207X00000X
PAMD072063L207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2512705OtherHIGHMARK PA GROUP
PA1629756OtherHIGHMARK PA INDIVIDUAL
PA1629756OtherHIGHMARK PA INDIVIDUAL
PA186891Medicare UPIN