Douglas K Dew M.D. P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME51037 Issued in FL

Legal business name

DOUGLAS K DEW M.D. P.A.

Practice address

6050 Saint Johns Ave
Suite 3
Palatka, FL 32177-6860

Phone

(904) 825-2737

Fax

(904) 825-2303

NPI assigned

Jul 14, 2005

Last updated

Apr 7, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Douglas K Dew, M.D., M.B.A.NPI 1699964916

Title

Orthopaedic Surgeon

Phone

(904) 825-2737

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas K Dew, M.D., MBA

  • Specialist
  • Palatka, FL
  • NPI 1699964916
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459987200000",
    "number": "1174521942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1459",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321781459",
            "telephone_number": "904-825-2737",
            "fax_number": "904-825-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 SAINT JOHNS AVE",
            "address_2": "SUITE 3",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321776860",
            "telephone_number": "904-825-2737",
            "fax_number": "904-825-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS K DEW M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-14",
        "last_updated": "2016-04-07",
        "status": "A",
        "authorized_official_last_name": "DEW",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "ORTHOPAEDIC SURGEON",
        "authorized_official_telephone_number": "904-825-2737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., M.B.A."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME51037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Palatka, FL
• Providers in Palatka, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.