NPI age
11 years
Enumerated 2015-01-20
● Active
Type 1 · Individual
Samuel Douglass, DO
Douglass is 1 of 91 radiology providers in Boise and 1 of 248 in Idaho.
Primary specialty
Radiology
Plus 3 subspecialties
Licensed in
ID, WA, OR, NE
4 states
Status
Active
No deactivations on record
Last NPPES update
2025-04-18
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 248 active radiology providers in Idaho.
NPI age
11 years
↓ 8 yr below median (19 yr)
State licenses
4 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
33% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-01Enumerated in NPPES
2015
2026
Where they practice
Practice location
1055 N Curtis Rd
Boise, ID 837061309
Mailing address
877 W Main St Ste 603
Boise, ID 837026070
Additional practice locations
3 secondary locations on file with NPPES.
Location 2
9040 Fitzsimmons Dr
Joint Base Lewis McChord, WA 984311000
Location 3
300 W Hospital Rd
Fort Gordon, GA 309055741
Location 4
1304 Fawcett Ave Ste 100
Tacoma, WA 984021900
Specialties
-
Radiology PrimaryA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Practice context
Part of a multi-provider practice. 378 other active providers share this practice address in NPPES.
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