Memory E. Dossenbach, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101988 Issued in NC

Practice address

3000 New Bern Ave
Raleigh, NC 27610-1231

Phone

(919) 350-7549

NPI assigned

Jan 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Lincoln Community Health Center Incorporated

  • Federally Qualified Health Center (FQHC)
  • Durham, NC
  • NPI 1114978582
  Medicare reassignment NPD
• Lincoln Community Health Center Incorporated

  dba Lakewood Clinic

  • Federally Qualified Health Center (FQHC)
  • Durham, NC
  • NPI 1114614518
  NPD
• Laurel Mill Emergency Physicians

  • Emergency Medicine Physician
  • Louisburg, NC
  • NPI 1255520243
  NPD (past)
• North Carolina Em-I Medical Services PC

  • Physician Assistant
  • Louisburg, NC
  • NPI 1215118633
  NPD (past)
• Sterling Emergency Services of the Southeast, Inc

  • Emergency Medicine Physician
  • Salisbury, NC
  • NPI 1770541245

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330992000000",
    "number": "1316098379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 BREVARD CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136247",
            "telephone_number": "919-428-0337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 NEW BERN AVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101231",
            "telephone_number": "919-350-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOSSENBACH",
        "first_name": "MEMORY",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dory R. Simonsen, PLLC
• Gunvantray Kirchand Doshi, MD
• Hirendra Navinchandr Doshi, M.D.
• Vasznt Doshi, MD
• Cody Brandon Doss, LMBT
• Jamie Doster McIntyre, M.D.
• Anne Eleanor Doster, ED.D.
• Emily Doster
• Suzanne M Dotson, OTL
• Terry Manuel Dotson

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.