Individual provider · Type 1 NPI

Ronald Jason Douglas, PA

Physician Assistant · Fort Wayne, IN

NPI number 1356312482 Active

Practice location

5001 US Highway 30 W Ste D
Fort Wayne, IN 46818-9701

Call (260) 432-1568 Map

Fax (260) 432-4969

Mailing address

PO Box 80070
Fort Wayne, IN 46898-0070

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X10000680A (IN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1356312482

Ronald Jason Douglas, PA's National Provider Identifier is 1356312482, issued on Jan 27, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Nov 17, 2014.