Dorn Medical Group, P.a.

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

PA05553 Issued in TX

Legal business name

DORN MEDICAL GROUP, P.A.

Practice address

121 Blythewood Rd
Blythewood, SC 29016-8426

Phone

(803) 606-8935

NPI assigned

Feb 24, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Frank E Dorn, PA-CNPI 1275717191

Title

Chief Medical Officer

Phone

(803) 606-8935

Specialties & licenses 1

Addresses

Other names 1

• Blythewood Urgent Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frank E Dorn, PA

  • Physician Assistant
  • Orlando, FL
  • NPI 1275717191
  NPD (past) Authorized official

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424736000000",
    "number": "1366834640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 LAKE ESTATE DR",
            "city": "CHAPIN",
            "state": "SC",
            "postal_code": "290367789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BLYTHEWOOD RD",
            "city": "BLYTHEWOOD",
            "state": "SC",
            "postal_code": "290168426",
            "telephone_number": "803-606-8935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORN MEDICAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-24",
        "last_updated": "2015-02-24",
        "status": "A",
        "authorized_official_last_name": "DORN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "803-606-8935",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "TX",
            "license": "PA05553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blythewood Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Blythewood, SC
• Providers in Blythewood, SC by specialty
• Urgent Care Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.