Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MODESTA DOUGLAS
Active Sole ProprietorMODESTA DOUGLAS is a Foot & Ankle Surgery healthcare provider located in LEWISBURG, Ohio. NPI 1962281741 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery · LEWISBURG, OH
Registration Details
- NPI Number
- 1962281741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 21, 2023 (2.8941329775916 yrs)
- Last Updated
- Dec 18, 2025
- Sole Proprietor
- Yes
Practice Information
- Address
-
208 E SOUTH WATER STLEWISBURG, OH, 453388093Browse OH providers · Browse ZIP 45338
- Phone
- 9373612178
- Primary Specialty
-
Foot & Ankle Surgery
3747P1801X
Other Foot & Ankle Surgery Providers in LEWISBURG, OH
| Name | Credential | NPI |
|---|---|---|
| WILLIAM R HOLLON JR. | — | 1770381162 |
| NICOLE D SEERY | — | 1275409443 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.