Provider Demographics
NPI:1316913031
Name:PAY, DOUGLAS K (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:K
Last Name:PAY
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 86370
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57118-6370
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:116 W. 69TH ST., STE. 100
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57108
Practice Address - Country:US
Practice Address - Phone:605-322-6960
Practice Address - Fax:605-322-6961
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2008-12-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SD0668207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD0040222OtherBLUE CROSS
SD1663489OtherARAZ/ AMERICA'S PPO
SD0668OtherDAKOTACARE
IA1529784Medicaid
SD25104OtherSANFORD HEALTH PLAN
NE46022474343Medicaid
SD0300193OtherMEDICA
MN397S2PAOtherBLUE CROSS
SD5900382Medicaid
SD407211028128OtherPREFERRED ONE
SD070016795OtherRR MEDICARE
SD16320OtherMIDLANDS CHOICE
SD57108B004OtherWPS TRICARE
MN040122003OtherPRIMEWEST
MN397S2PAOtherCC SYSTEMS/ BLUE PLUS
MN470658700Medicaid
SDHP37149OtherHEALTHPARTNERS
SD16320OtherMIDLANDS CHOICE
SD25104OtherSANFORD HEALTH PLAN