Douglas Mitchell Sides
Medical Specialty
Professional ID
- NPI: 1144228255
- PECOS ID: 1153227111
- Enrollment ID: I20040420000164
- Credential(MD, DO, DPM): MD
- Medical School: Albert Einstein College Of Medicine Of Yeshiva University
- Medical School Graduation Year: 1991
Hospital Service
- Hospital CCN1: 120005
- Business Name (LBN)1: Hilo Medical Center
- Hospital CCN2: 120019
- Business Name (LBN)2: Kona Community Hospital
- Hospital CCN3: 290045
- Business Name (LBN)3: St Rose Dominican Hospitals - Siena Campus
- Hospital CCN4: 290053
- Business Name (LBN)4: St Rose Dominican Hospitals - San Martin Campus
- Hospital CCN5: 290012
- Business Name (LBN)5: St Rose Dominican Hospitals - Rose De Lima Campus
Medical Practices
- Organization Name: Hawaii Radiologic Associates Ltd
- Group Practice ID assigned by PECOS: 0941190953
- Number of Group Practice member: 56
Location
- Address1: 1190 Waianuenue Ave
- Address2: Radiology Department
- City: Hilo
- State: Hawaii
- Zip Code: 96720
- Phone Number: (808)932-3000
Location
- Address1: 670 Ponahawai St
- Address2: Suite 110
- City: Hilo
- State: Hawaii
- Zip Code: 96720
- Phone Number: (808)933-2540
Location
- Address1: 688 Kinoole St
- Address2: Suite 103
- City: Hilo
- State: Hawaii
- Zip Code: 96720
- Phone Number: (808)933-2540
Location
- Address1: 75-5653 Kuakini Hwy
- Address2:
- City: Kailua Kona
- State: Hawaii
- Zip Code: 96740
- Phone Number: (808)329-7314
Location
- Address1: 79 -1019 Haukapila St
- Address2:
- City: Kealakekua
- State: Hawaii
- Zip Code: 96750
- Phone Number: (808)322-9311
Location
- Address1: 82 Puuhonu Pl
- Address2: Suite 102
- City: Hilo
- State: Hawaii
- Zip Code: 96720
- Phone Number: (808)961-4745
Medical Practices
- Organization Name: Pueblo Medical Imaging, Llc
- Group Practice ID assigned by PECOS: 2264328319
- Number of Group Practice member: 19
Location
- Address1: 8551 W Lake Mead Blvd
- Address2: Suite 150
- City: Las Vegas
- State: Nevada
- Zip Code: 89128
- Phone Number: (702)228-0031
Medical Practices
- Organization Name: J Paul Wiesner And Associates Chartered
- Group Practice ID assigned by PECOS: 4880679976
- Number of Group Practice member: 24
Location
- Address1: 3001 Saint Rose Pkwy
- Address2:
- City: Henderson
- State: Nevada
- Zip Code: 89052
- Phone Number: (702)616-5585
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):