Active NPI
Buchanan Merryman Dugan, MD
- Surgery Physician
- Elkins, WV
National Provider Identifier
1477511152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 226382
- Practice address
- 911 Gorman Ave
Ste 103
Elkins, WV 26241 - Phone
- (304) 637-9302
- Fax
- (304) 637-9306
- NPI assigned
- May 3, 2006
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 226382 | MA | Primary |
Addresses
Primary practice location
911 Gorman Ave
Ste 103
Elkins, WV 26241
Mailing address
725 North St
Pittsfield, MA 01201
Phone (413) 447-2752
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2112540 | Medicaid | MA |
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 |
|---|---|---|---|
| 226382 | MA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Berkshire Faculty Services Inc | Past | Accepting new patients | |
| Davis Memorial Hospital | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Elkins, WV
- NPI 1700663226
-
- Multi-Specialty Clinic/Center
- Pittsfield, MA
- NPI 1548212939
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303344000000",
"number": "1477511152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 NORTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "01201",
"telephone_number": "413-447-2752",
"fax_number": "413-496-6836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 GORMAN AVE",
"address_2": "STE 103",
"city": "ELKINS",
"state": "WV",
"postal_code": "26241",
"telephone_number": "304-637-9302",
"fax_number": "304-637-9306"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGAN",
"first_name": "BUCHANAN",
"middle_name": "MERRYMAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2011-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "226382",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2112540",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elkins, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.