Julie Stone Dodge, PA-C

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

103908 Issued in NC

Practice address

4321 Medical Park Dr
Ste 102
Durham, NC 27704-2199

Phone

(919) 220-7546

Fax

(919) 220-5805

NPI assigned

May 25, 2006

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

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jstonedodge@directaddress.net

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.

• Regional Dermatology of Durham

  • Dermatology Physician
  • Durham, NC
  • NPI 1871893503
  Medicare reassignment
• Southern Dermatology, P.a.

  • Specialist
  • Raleigh, NC
  • NPI 1568415586
  NPD (past)
• Dynamic Therapy Services LLC

  • Physical Therapist
  • Seaford, DE
  • NPI 1205875093
  NPD (past)

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1376599019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 MEDICAL PARK DR",
            "address_2": "STE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042199",
            "telephone_number": "919-220-7546",
            "fax_number": "919-220-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 MEDICAL PARK DR",
            "address_2": "STE 102",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042199",
            "telephone_number": "919-220-7546",
            "fax_number": "919-220-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "JULIE",
        "middle_name": "STONE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "103908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctors Making Housecalls LLC
• Doctors Making Housecalls Psychiatric Medicine,PA
• Bailey Thomas Dodd, CRNA, DNAP
• Margaret Dodd
• Kristen Anne Dodenhoff, MD
• Rex Daniel Dodge, PA-C
• Kiley Doerzbacher, DPT
• Jaclyn Doetschman
• Sunil Dogra, MD
• Megan Doherty

• Dermatology Physician in Durham, NC
• Providers in Durham, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2011; 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.