NPIMap

Organization Active NPI

James M. Dorchak, MD, PC

  • Specialist
  • Columbus, GA
National Provider Identifier
1093855215
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
47587 Issued in GA
Legal business name
JAMES M. DORCHAK, MD, PC
Practice address
1538 13TH Avenue, Suite B-250
Columbus, GA 31901-1950
Phone
(706) 596-0078
Fax
(706) 596-9915
NPI assigned
Feb 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Tabitha Christina Santaliz
Title
LPN, Office Manager
Phone
(706) 596-0078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 47587 GA Primary

Addresses

Primary practice location

1538 13TH Avenue, Suite B-250
Columbus, GA 31901-1950

Mailing address

1538 13TH Avenue, Suite B-250
Columbus, GA 31901-1950
Phone (706) 596-0078

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093855215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1538 13TH AVENUE, SUITE B-250",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011950",
            "telephone_number": "706-596-0078",
            "fax_number": "706-596-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH AVENUE, SUITE B-250",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011950",
            "telephone_number": "706-596-0078",
            "fax_number": "706-596-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. DORCHAK, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTALIZ",
        "authorized_official_first_name": "TABITHA",
        "authorized_official_middle_name": "CHRISTINA",
        "authorized_official_title_or_position": "LPN, OFFICE MANAGER",
        "authorized_official_telephone_number": "706-596-0078"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "47587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.