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

Mr. Douglas X Dismuke I

Individual provider Case Manager/Care Coordinator · NPI 1104696608

Mr. Douglas X Dismuke I is a Case Manager/Care Coordinator in Toledo, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

3649 Revere Dr
Toledo, OH 43612-1032
Phone: (815) 299-8765
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence 171M00000X (OH)

Record details

NPI number1104696608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 5, 2024
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address3649 Revere Dr, Toledo, OH 43612-1032

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