Active NPI
Dwayne Thwaites, MD
- Urology Physician
- Elizabeth City, NC
National Provider Identifier
1407057649
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 2008 01717
- Practice address
- 1134 N Road St Ste 5
Elizabeth City, NC 27909-3365 - Phone
- (305) 243-3670
- Fax
- (252) 335-0310
- NPI assigned
- May 29, 2007
- Last updated
- Dec 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | 2008 01717 | NC | Primary |
Addresses
Primary practice location
1134 N Road St Ste 5
Elizabeth City, NC 27909-3365
Mailing address
1134 N Road St Ste 5
Elizabeth City, NC 27909-3365
Phone (305) 323-6440
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008 01717 | NC | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228262400000",
"number": "1407057649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1134 N ROAD ST STE 5",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093365",
"telephone_number": "305-323-6440",
"fax_number": "252-335-0310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1134 N ROAD ST STE 5",
"city": "ELIZABETH CITY",
"state": "NC",
"postal_code": "279093365",
"telephone_number": "305-243-3670",
"fax_number": "252-335-0310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THWAITES",
"first_name": "DWAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2008-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NC",
"license": "2008 01717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elizabeth City, NC
- Elizabeth Marie Thomas, MA, LCMHC
- Macie Thomas, LCSWA
- Thompson & Gray, DDS, PA (Dental Transformations)
- Alfred Hunter Thompson, M.D.
- Kaleb Thompson, D.M.D.
- Meghan Tice, PHARMD
- Tidal Smiles Pediatric Dentistry PLLC (D. Luke Winter DDS PLLC)
- Tidewater Radiation Services, LLC
- Janice Kay Todd, N.P.
- Todd's Pharmacy Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.