Active NPI
Mark S Dawson
- Gastroenterology Physician
- Bradenton, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME0064729
- Practice address
- 101 Riverfront Blvd Ste 700
Bradenton, FL 34205-8823 - Phone
- (941) 748-2417
- Fax
- (941) 748-3694
- NPI assigned
- Jan 30, 2006
- Last updated
- Feb 10, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | ME0064729 | FL | Primary |
Addresses
Primary practice location
101 Riverfront Blvd Ste 700
Bradenton, FL 34205-8823
Mailing address
101 Riverfront Blvd Ste 700
Bradenton, FL 34205-8823
Phone (941) 748-2417
Other practice location 1
129 S Pebble Beach Blvd Ste 100
Sun City Center, FL 33573-5718
Phone (813) 634-9272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1138 Country Club Blvd
Cape Coral, FL 33990-3027
Phone (239) 424-1900
13681 Doctors Way
Fort Myers, FL 33912-4300
Phone (239) 343-2606
23450 Via Coconut PT
Estero, FL 34135-1877
Phone (239) 468-0120
2776 Cleveland Ave
Fort Myers, FL 33901-5864
Phone (239) 343-2000
8960 Colonial Ctr Dr
Fort Myers, FL 33905-7810
9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 132 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 208 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0064729 | FL | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centracare Clinic | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Current | Accepting new patients | |
| Florida Digestive Health Specialists, LLP | Gastroenterology | Current | Accepting new patients |
| St. Cloud Hospital | Current | Accepting new patients | |
| Centracare Clinic | Gastroenterology | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| St. Cloud Hospital | Current | Accepting new patients | |
| Lee Health System Inc | Current | Accepting new patients | |
| Centracare Clinic | Past | Accepting new patients | |
| Sun Coast Gi Associates | Gastroenterology | Past | Accepting new patients |
Locations
101 Riverfront Blvd
Ste 700
Bradenton, FL 34205
Phone (941) 748-2417
1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100
250 2nd St E
Ste 3E
Bradenton, FL 34208
Phone (941) 243-3983
1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900
636 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 332-5344
13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000
1569 Matthew Dr
Fort Myers, FL 33907
Phone (941) 939-1700
16410 Healthpark Commons Dr
Fort Myers, FL 33908
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030
9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344
930 S Main St
Ste C
Labelle, FL 33935
Phone (239) 674-5520
129 S Pebble Beach Blvd
Ste 100
Sun City Center, FL 33573
Phone (813) 634-9272
1406 6th Ave N
Saint Cloud, MN 56303
Phone (320) 255-5657
1900 Centracare Cir
Saint Cloud, MN 56303
Phone (320) 252-2422
110 2nd St S
Ste 104
Waite Park, MN 56387
Phone (320) 259-9375
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Gastroenterology Physician
- Lakewood Ranch, FL
- NPI 1518267327
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
dba Lee Health Specialty Pharmacy
- Community/Retail Pharmacy
- Bonita Springs, FL
- NPI 1699510925
-
dba CentraCare - River Campus Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1043212665
-
dba CentraCare Occupations Health
- Occupational Medicine Clinic/Center
- Saint Cloud, MN
- NPI 1366192759
-
dba CentraCare - Plaza Clinic (Internal Medicine)
- Primary Care Clinic/Center
- Saint Cloud, MN
- NPI 1659425114
Gastroenterology
-
- General Acute Care Hospital
- Saint Cloud, MN
- NPI 1043269798
-
dba St. Cloud Hospital Physical Therapy - Albany
- Physical Therapy Clinic/Center
- Albany, MN
- NPI 1609241447
-
dba Extended Contract Inpt Psych Services
- Psychiatric Hospital Unit
- Saint Cloud, MN
- NPI 1932419058
-
- Gastroenterology Physician
- Bradenton, FL
- NPI 1821153974
-
dba CentraCare - Plaza Clinic
- Multi-Specialty Clinic/Center
- Saint Cloud, MN
- NPI 1225030844
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Gulf Coast Medical Center
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
dba Lee Memorial Hospital
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1427806025
-
dba Cape Coral Hospital
- General Acute Care Hospital
- Cape Coral, FL
- NPI 1780429076
-
dba Nash General Hospital
- General Acute Care Hospital
- Rocky Mount, NC
- NPI 1619969219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1457322133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 RIVERFRONT BLVD STE 700",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058823",
"telephone_number": "941-748-2417",
"fax_number": "941-748-3694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 RIVERFRONT BLVD STE 700",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342058823",
"telephone_number": "941-748-2417",
"fax_number": "941-748-3694"
}
],
"practiceLocations": [
{
"address_1": "129 S Pebble Beach Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Sun City Center",
"state": "FL",
"postal_code": "335735718",
"country_code": "US",
"telephone_number": "813-634-9272",
"fax_number": "941-748-3694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAWSON",
"first_name": "MARK",
"middle_name": "S",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME0064729",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.