Pacifico D Dorado MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35034105 Issued in OH

Legal business name

PACIFICO D DORADO MD INC

Practice address

2213 So 9TH St
Ironton, OH 45638

Phone

(740) 532-6634

NPI assigned

Mar 19, 2008

Last updated

Sep 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pacifico Dorado, MDNPI 1184631970

Title

President

Phone

(740) 532-6634

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pacifico Dorado, MD

  • Surgery Physician
  • Ironton, OH
  • NPI 1184631970
  Authorized official Same address or phone

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1497926273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 605",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456380605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 SO 9TH ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "45638",
            "telephone_number": "740-532-6634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFICO D DORADO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "DORADO",
        "authorized_official_first_name": "PACIFICO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "740-532-6634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35034105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0833594",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Ironton, OH
• Providers in Ironton, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.