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

Matthew Joseph K Douglas, MD

Individual provider Emergency Medicine Physician · NPI 1902219132

Matthew Joseph K Douglas, MD is an Emergency Medicine Physician in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona and Idaho.

Licensed in
AZ, ID
In the registry since
2014
Specialties on file
2
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

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
Fax: (602) 344-1423
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 190 E Bannock St, Boise, ID 83712-6241 — (208) 381-2235

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 52694 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 9861977 (ID)

Record details

NPI number1902219132
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJune 5, 2014
Last updated in NPPESDecember 2, 2024
Certification dateDecember 2, 2024

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