Active NPI
Douglas S Won, M.D.
- Orthopaedic Surgery of the Spine Physician
- Irving, TX
National Provider Identifier
1194765552
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Sep 20, 2021.
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- L9018
- Practice address
- 4301 N Macarthur Blvd
Suite 101
Irving, TX 75038-6497 - Phone
- (972) 255-5588
- Fax
- (972) 255-6688
- NPI assigned
- Jun 7, 2006
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | L9018 | TX | Primary |
Addresses
Primary practice location
4301 N Macarthur Blvd
Suite 101
Irving, TX 75038-6497
Mailing address
PO Box 202737
Dallas, TX 75320-2737
Phone (972) 255-5588
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00218970 | Other | TX | RAILROAD MEDICARE |
| 0047LY | Other | TX | BLUE CROSS |
| 171385101 | Medicaid | TX |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Douglas S. Won, MD, PA | Orthopaedic Surgery of the Spine | Past | Accepting new patients |
Interoperability endpoints
- dwon@direct.uspi.com
Organizations & group practices 1
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.
-
- Orthopaedic Surgery of the Spine Physician
- Irving, TX
- NPI 1437376555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265068800000",
"number": "1194765552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202737",
"city": "DALLAS",
"state": "TX",
"postal_code": "753202737",
"telephone_number": "972-255-5588",
"fax_number": "972-255-6688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 N MACARTHUR BLVD",
"address_2": "SUITE 101",
"city": "IRVING",
"state": "TX",
"postal_code": "750386497",
"telephone_number": "972-255-5588",
"fax_number": "972-255-6688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WON",
"first_name": "DOUGLAS",
"middle_name": "S",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2010-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "TX",
"license": "L9018",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00218970",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0047LY",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "171385101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.