Marshall Allen Dawson Jr., M.D.
Individual provider Active NPI Internal Medicine Physician · Midway, KY
NPI 1154584407 · NPPES record last updated Jul 8, 2008
Key facts
- NPI
- 1154584407
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 13893 (KY)
- Practice address
- 1375 Weisenberger Mill Rd
Midway, KY 40347-9725 - Phone
- (859) 846-4131
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13893 | KY | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13893 | KY | Yes |
Addresses
Primary practice location
1375 Weisenberger Mill Rd
Midway, KY 40347-9725
Mailing address
1375 Weisenberger Mill Rd
Midway, KY 40347-9725
Phone (859) 846-4131
Other providers in Midway, KY
- Tara Jordan Caldwell
- Capital Family Physicians PSC
- Mary D Carman
- Kim D Clawson
- Cumberland Family Medical Center Inc
- Gina Dearth-Pendley
- Eden Physical Therapy, LLC
- Wendy Michelle Enneking
- Glass Enterprises LLC
- Glass Enterprises LLC
All providers in Midway, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.