Jonathon G. Dewald, MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

28169 Issued in NC

Legal business name

JONATHON G. DEWALD, MD PA

Practice address

2605 Forest Hills Rd SW Ste B
Wilson, NC 27893-4448

Phone

(252) 243-7542

NPI assigned

Feb 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Jonathon G Dewald, M.D.

Title

Owner

Phone

(252) 243-7542

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12405/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1457529703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3585",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278953585",
            "telephone_number": "252-243-7542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 FOREST HILLS RD SW STE B",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278934448",
            "telephone_number": "252-243-7542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHON G. DEWALD, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "DEWALD",
        "authorized_official_first_name": "JONATHON",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-243-7542",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "28169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "C83523",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Benjamin Wesley Johnson, DC
• Brittany Johnson
• Karen Yvette Johnson, LCAS-A
• Kay Finch Johnson, R.D., LDN
• Shameka Logan Johnson
• Jones-Edwards, Inc.
• Lorraine Denise Jones-Whitfield
• Gabrielle Denise Jones, M.ED., LCMHCA
• Jeffrey Emerson Jones, MD
• Juanita Jones

• Internal Medicine Physician in Wilson, NC
• Providers in Wilson, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.

Verify at the official NPI Registry.