Active NPI
David Edwin Dollens, MD
- Internal Medicine Physician
- Seymour, IN
National Provider Identifier
1033115977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 01027033A
- Practice address
- 209 S Walnut St
Seymour, IN 47274-2311 - Phone
- (812) 522-2700
- Fax
- (812) 522-1057
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01027033A | IN | Primary |
Addresses
Primary practice location
209 S Walnut St
Seymour, IN 47274-2311
Mailing address
PO Box 968
Seymour, IN 47274-0968
Phone (812) 522-2700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100105430A | Medicaid | IN | |
| 000000084190 | Other | IN | ANTHEM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01027033A | IN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David E. Dollens, MD,LLC | Internal Medicine | Past | Accepting new patients |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Seymour, IN
- NPI 1437291218
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033115977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 968",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472740968",
"telephone_number": "812-522-2700",
"fax_number": "812-522-1057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "209 S WALNUT ST",
"city": "SEYMOUR",
"state": "IN",
"postal_code": "472742311",
"telephone_number": "812-522-2700",
"fax_number": "812-522-1057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLENS",
"first_name": "DAVID",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01027033A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100105430A",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000084190",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seymour, IN
Sources for this page
- 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.