Active NPI
Anita Tabor Dawson, DO
- Family Medicine Physician
- Milton, WV
National Provider Identifier
1265508774
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(4) exclusion effective Dec 19, 2013.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 918
- Practice address
- 1798 Midland TR
US RT 60E
Milton, WV 25541-9507 - Phone
- (304) 743-5111
- Fax
- (304) 743-9324
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 918 | WV | Primary |
Addresses
Primary practice location
1798 Midland TR
US RT 60E
Milton, WV 25541-9507
Mailing address
1798 Midland TR
US RT 60E
Milton, WV 25541-9507
Phone (304) 743-5111
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 Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 918 | WV | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265508774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1798 MIDLAND TR",
"address_2": "US RT 60E",
"city": "MILTON",
"state": "WV",
"postal_code": "255419507",
"telephone_number": "304-743-5111",
"fax_number": "304-743-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1798 MIDLAND TR",
"address_2": "US RT 60E",
"city": "MILTON",
"state": "WV",
"postal_code": "255419507",
"telephone_number": "304-743-5111",
"fax_number": "304-743-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAWSON",
"first_name": "ANITA",
"middle_name": "TABOR",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milton, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.