Charles Warren Dewing, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

1012670 Issued in NY

Practice address

2414 15TH St
Troy, NY 12180-1701

Phone

(518) 271-1813

Fax

(518) 271-1931

NPI assigned

Jun 19, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3045/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Anna Petropoulos Weissleder, MD, Inc

  • Specialist
  • Danvers, MA
  • NPI 1669667234
  NPD (past)
• Robert T. Fritz, M.D. P.C.

  • Otolaryngology Physician
  • Beverly, MA
  • NPI 1174673289
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003851353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2414 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801701",
            "telephone_number": "518-271-1813",
            "fax_number": "518-271-1931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2414 15TH ST",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121801701",
            "telephone_number": "518-271-1813",
            "fax_number": "518-271-1931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWING",
        "first_name": "CHARLES",
        "middle_name": "WARREN",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "1012670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison R Detommasi, MD
• Diane Jean Deveines, MD
• Ronald Robert Devernoe Sr., D.C.
• Caitlin Gail Devine, BS
• Ashleigh Devoe
• Tori Logan Deyo
• Nagendranath Dhanyamraju, M.D.
• Jonathan Di Iorio, LHAS
• Joseph Matthew Di Lullo, M.D.
• Dialysis Clinic Inc

• Medical Physician Assistant in Troy, NY
• Providers in Troy, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.