Active NPI
Donald Ross Dillard, MD
- Anesthesiology Physician
- Guntersville, AL
National Provider Identifier
1225013311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 13066
- Practice address
- 8000 Al Highway 69
Marshall County Medical Center North
Guntersville, AL 35976-7140 - Phone
- (256) 571-8000
- NPI assigned
- Dec 12, 2005
- Last updated
- Oct 20, 2011
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 13066 | AL | Primary |
Addresses
Primary practice location
8000 Al Highway 69
Marshall County Medical Center North
Guntersville, AL 35976-7140
Mailing address
PO Box 1547
Sedalia, MO 65302-1547
Phone (660) 826-5960
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051512175 | Other | BLUE CROSS BLUE SHIELD | |
| 300117300 | Other | UMWA MEDICARE | |
| 051512175 | Medicaid | AL | |
| 050091764 | Other | TRAVELERS MEDICARE | |
| 2000417 | Other | UNITED HEALTHCARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13066 | AL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319068800000",
"number": "1225013311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1547",
"city": "SEDALIA",
"state": "MO",
"postal_code": "653021547",
"telephone_number": "660-826-5960",
"fax_number": "660-826-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8000 AL HIGHWAY 69",
"address_2": "MARSHALL COUNTY MEDICAL CENTER NORTH",
"city": "GUNTERSVILLE",
"state": "AL",
"postal_code": "359767140",
"telephone_number": "256-571-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DILLARD",
"first_name": "DONALD",
"middle_name": "ROSS",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-12",
"last_updated": "2011-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AL",
"license": "13066",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051512175",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UMWA MEDICARE",
"identifier": "300117300",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051512175",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "050091764",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2000417",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Guntersville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.