John S Dornan, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R853422 Issued in MS

Practice address

425 Hospital Dr
Suite 4
Columbus, MS 39705-1901

Phone

(662) 240-0650

Fax

(662) 240-0483

NPI assigned

Dec 20, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Columbus Hematology & Oncology, PA

  • Specialist
  • Columbus, MS
  • NPI 1881698215
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043374754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8489",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397050034",
            "telephone_number": "662-240-0650",
            "fax_number": "662-240-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 HOSPITAL DR",
            "address_2": "SUITE 4",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051901",
            "telephone_number": "662-240-0650",
            "fax_number": "662-240-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNAN",
        "first_name": "JOHN",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R853422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00118261",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carrie Dozier, NP-C

• Nurse Practitioner in Columbus, MS
• Providers in Columbus, MS by specialty
• Nurse Practitioner in Mississippi

• 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.