Provider Demographics
NPI:1447231980
Name:MACDOUGALL, JAMES HOWARD (MD)
Entity type:Individual
Prefix:
First Name:JAMES
Middle Name:HOWARD
Last Name:MACDOUGALL
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 1:1000 BOWER HILL ROAD
Mailing Address - Street 2:ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15243-1873
Mailing Address - Country:US
Mailing Address - Phone:412-924-2548
Mailing Address - Fax:
Practice Address - Street 1:2000 OXFORD DR STE 305
Practice Address - Street 2:
Practice Address - City:BETHEL PARK
Practice Address - State:PA
Practice Address - Zip Code:15102-1841
Practice Address - Country:US
Practice Address - Phone:412-942-7900
Practice Address - Fax:412-942-7918
Is Sole Proprietor?:No
Enumeration Date:2005-11-10
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027536E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010965070002Medicaid
060011917OtherRAILROAD MEDICARE
2061172OtherAETNA
1001030OtherGATEWAY HEALTH PLAN
PA198349OtherHIGHMARK BLUE SHIELD
000000065694OtherUNISON HEALTH PLAN
87152OtherHEALTH AMERICA
1001030OtherGATEWAY HEALTH PLAN
060011917OtherRAILROAD MEDICARE