NPIMap

Individual provider Active NPI

Meyer Edwin Dworsky, MD

  • Neonatal-Perinatal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1023091378
Registry record updated May 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X
License
8399 Issued in AL
Practice address
2324 Pansy St SW
Huntsville, AL 35801-3803
Phone
(256) 536-9587
Fax
(256) 536-9588
NPI assigned
Nov 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal-Perinatal Medicine Physician 2080N0001X 8399 AL Primary

Addresses

Primary practice location

2324 Pansy St SW
Huntsville, AL 35801-3803

Mailing address

PO Box 2289
Huntsville, AL 35804-2289
Phone (256) 536-9587

Other identifiers 2

IdentifierTypeStateIssuer
131299MedicaidAL
009905635MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
8399ALMDNeonatal-Perinatal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Houston County Healthcare Authority Past Accepting new patients
Tennessee Valley Neonatology PC Past Accepting new patients
Triad of Alabama LLC Past Accepting new patients
The Health Care Authority of the City of Huntsville Past Accepting new patients

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01C0
  • bcbs alabama network 01B0
  • bcbs alabama network 01A0
  • bcbs alabama network 01E0

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369872000000",
    "number": "1023091378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2289",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358042289",
            "telephone_number": "256-536-9587",
            "fax_number": "256-536-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 PANSY ST SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013803",
            "telephone_number": "256-536-9587",
            "fax_number": "256-536-9588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DWORSKY",
        "first_name": "MEYER",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-21",
        "last_updated": "2013-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "AL",
            "license": "8399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131299",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009905635",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2013; 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.