Provider Demographics
NPI:1245281674
Name:WESTVEER, DOUGLAS (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:
Last Name:WESTVEER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 HOSPITAL CENTER BLVD STE 130
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD
Mailing Address - State:SC
Mailing Address - Zip Code:29926-8701
Mailing Address - Country:US
Mailing Address - Phone:843-682-2740
Mailing Address - Fax:843-682-2815
Practice Address - Street 1:8 HOSPITAL CENTER BLVD STE 130
Practice Address - Street 2:
Practice Address - City:HILTON HEAD
Practice Address - State:SC
Practice Address - Zip Code:29926
Practice Address - Country:US
Practice Address - Phone:843-682-2740
Practice Address - Fax:843-682-2815
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301036481174400000X
SC36610207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCPENDINGMedicaid
MI1768387Medicaid
SCPENDINGMedicaid
SCSC5336E470Medicare PIN
MIB46282Medicare UPIN