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

Timothy Douglass

Individual provider Certified Registered Nurse Anesthetist · NPI 1023337342

Timothy Douglass is a Certified Registered Nurse Anesthetist (CRNA) in Williamsport, Pennsylvania. Qualified in 2010, 16 years ago. Practices with Susquehanna Physician Services, a 612-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
16
Licensed in
PA
In the registry since
2010
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Practice location Address checks out

700 High St
Williamsport, PA 17701-3100
Phone: (570) 321-2385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence RN537606 (PA)

Record details

NPI number1023337342
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 26, 2010
Last updated in NPPESJune 15, 2021
Mailing address1201 Grampian Blvd, Suite 1k, Williamsport, PA 17701-1900

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Susquehanna Physician Services — 612 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Williamsport