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

Sean T Douglas, PA-C

Individual provider Physician Assistant · NPI 1689122129

Sean T Douglas, PA-C is a Physician Assistant in Pittsfield, Massachusetts. Graduated from State University of New York at Stony Brook, School of Medicine in 2016, 10 years ago. Practices with Convenientmd - Ffs Uc LLC, a 395-clinician group and accepts Medicare assignment. Licensed in Massachusetts and New York.

Years since qualifying
10
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
MA, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

999 Dalton Ave
Pittsfield, MA 01201-2903
Phone: (413) 242-6577
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA5886 (MA)
Physician Assistant Taxonomy 363A00000X · Licence 019994-1 (NY)

Record details

NPI number1689122129
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 13, 2016
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Convenientmd - Ffs Uc Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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