Provider Demographics
NPI:1609988039
Name:DOUD, DAVID A (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:A
Last Name:DOUD
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B3
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-334-1885
Practice Address - Street 1:450 S WASHINGTON ST
Practice Address - Street 2:3RD FLOOR SUITE C
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-2500
Practice Address - Country:US
Practice Address - Phone:717-339-3110
Practice Address - Fax:717-334-1885
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2016-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS009010L207L00000X, 207P00000X, 208600000X, 2086S0120X, 2086S0129X, 208C00000X, 208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No2086S0120XAllopathic & Osteopathic PhysiciansSurgeryPediatric Surgery
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery
No208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA50075818OtherCAPITAL BLUE CROSS WMG
PA007548540Medicaid
PA232732OtherUNISON WMG
PA7483010OtherAETNA
PA105655OtherGEISINGER HEALTH PLAN
PA595396OtherHIGHMARK BLUE SHIELD
PA1521272OtherGATEWAY-WMG
PA20072212OtherAMERIHEALTH MERCY-WMG
PA216753OtherJOHNS HOPKINS
PA105655OtherGEISINGER HEALTH PLAN
PAP00663236Medicare PIN
PA031507FLTMedicare PIN
PA007548540Medicaid