Active NPI
David Michael Dodd, M.D.
- Emergency Medicine Physician
- Charleston, SC
National Provider Identifier
1326334210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 47110
- Practice address
- 169 Ashley Ave
Room 202 Main Hospital, Msc333
Charleston, SC 29425-8905 - Phone
- (843) 792-2300
- NPI assigned
- Jun 20, 2011
- Last updated
- May 14, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | LL33828 | SC | |
| Emergency Medicine Physician | 207P00000X | 47110 | KY | Primary |
Addresses
Primary practice location
169 Ashley Ave
Room 202 Main Hospital, Msc333
Charleston, SC 29425-8905
Mailing address
306 Mallard CT
Mount Pleasant, SC 29464-2830
Phone (606) 465-0628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47110 | KY | MD | Emergency Medicine Physician |
| LL33828 | SC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Emergency Physicians, PSC | Emergency Medicine | Current | Accepting new patients |
| Ky-I Medical Services, P.S.C. | Past | Accepting new patients |
Locations
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1346371762
-
- Physician Assistant
- Frankfort, KY
- NPI 1336586932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431561600000",
"number": "1326334210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 MALLARD CT",
"city": "MOUNT PLEASANT",
"state": "SC",
"postal_code": "294642830",
"telephone_number": "606-465-0628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 ASHLEY AVE",
"address_2": "ROOM 202 MAIN HOSPITAL, MSC333",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258905",
"telephone_number": "843-792-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODD",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-20",
"last_updated": "2015-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "SC",
"license": "LL33828",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "47110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
- Lakisha S Dobson
- Doctors Care SC, PA (Doctors Care West Ashley)
- Doctors Care SC, PA (Doctors Care Charleston West)
- Doctors Care SC, PA (Doctors Care James Island)
- Doctors Care, P.a. (Doctors Care Clements Ferry)
- Helen M. Dodds, M.D.
- Mattie Dodds
- Peter A Dodge Sr., PA
- Maya Priyesh Dodhia, MD
- Collette Wade Doe, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2015; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.