Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Douglas Walsh, MD

Individual provider Dermatology Physician · NPI 1306860119

Dr. Douglas Walsh, MD is a Dermatology in Fayetteville, New York. Graduated from George Washington University School of Medicine in 1989, 37 years ago. Practices with Dr Fazeli and Dr Broumand LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Maryland.

Years since qualifying
37
Trained at
George Washington University School of Medicine
Licensed in
MD
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4110 Medical Center Drive Dermatology Associates
Fayetteville, NY 13066-2075
Phone: (706) 267-6239
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence D0041304 (MD)

Record details

NPI number1306860119
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESFebruary 18, 2026
Certification dateFebruary 18, 2026
Mailing address6154 Springdale Cir, Syracuse, NY 13224-2075

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolGEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Dr. Fazeli And Dr. Broumand Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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