| Douglas E Sutherland, MD | |
|
625 9th Ave Ste 120, Longview, WA 98632-2465 | |
| (360) 636-8950 | |
| (360) 636-8951 |
| Full Name | Douglas E Sutherland |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 24 Years |
| Location | 625 9th Ave Ste 120, Longview, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235210493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | MD00048998 (Washington) | Primary |
| 208800000X | Urology | MD035545 (District Of Columbia) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tacoma General Allenmore Hospital | Tacoma, WA | Hospital |
| Multicare Good Samaritan Hospital | Puyallup, WA | Hospital |
| Multicare Auburn Medical Center | Auburn, WA | Hospital |
| Multicare Capital Medical Center | Olympia, WA | Hospital |
| Multicare Covington Medical Center | Covington, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Multicare Health System | 7719899897 | 2312 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Capital Medical Center Specialty Physicians LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760785281 PECOS PAC ID: 2567651771 Enrollment ID: O20110104000592 |
| Mailing Address | Practice Location Address |
|---|---|
| Douglas E Sutherland, MD 3124 S 19th St, Ste 240, Tacoma, WA 98405-2433 Ph: (253) 301-5100 | Douglas E Sutherland, MD 625 9th Ave Ste 120, Longview, WA 98632-2465 Ph: (360) 636-8950 |
Patrick C Maginn, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 625 9th Ave, Suite 120, Longview, WA 98632 Phone: 360-425-3720 Fax: 360-425-0090 |
Patrick M Lassen, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Suite 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |
Tristan T Berry, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |
David Lee Killion, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |
Chad C Chesley, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Suite 120, Longview, WA 98632 Phone: 360-636-8950 Fax: 360-636-8951 |