Provider Demographics
NPI:1679864441
Name:HESS, DOUGLAS JAMES (DO)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:JAMES
Last Name:HESS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4541 52ND AVE S
Mailing Address - Street 2:STE 100
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104-5565
Mailing Address - Country:US
Mailing Address - Phone:701-552-6578
Mailing Address - Fax:701-380-5115
Practice Address - Street 1:4541 52ND AVE S
Practice Address - Street 2:STE 100
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104-5565
Practice Address - Country:US
Practice Address - Phone:701-552-6578
Practice Address - Fax:701-380-5115
Is Sole Proprietor?:No
Enumeration Date:2011-04-27
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD99682084P0800X, 2084P0804X
MN587702084P0800X, 2084P0804X
IA43822084P0800X
ND128182084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry