Active NPI
Dennis Dolgan, MD
- Emergency Medicine Physician
- Raeford, NC
National Provider Identifier
1588625784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 35050777D
- Practice address
- 4565 Fayetteville Rd
Suite a
Raeford, NC 28376-7998 - Phone
- (910) 878-5100
- Fax
- (910) 878-5100
- NPI assigned
- Mar 29, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35050777D | OH | Primary |
Addresses
Primary practice location
4565 Fayetteville Rd
Suite a
Raeford, NC 28376-7998
Mailing address
PO Box 843298
Boston, MA 02284-3298
Phone (910) 878-5100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0459504 | Medicaid | OH |
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 |
|---|---|---|---|
| 35050777D | OH | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Hospital System, Inc | Past | Accepting new patients | |
| MCPC-8, LLC | Past | Accepting new patients | |
| Pinehurst Radiology Group P a | Past | Accepting new patients | |
| Lake Emergency Services Inc | Emergency Medicine | Past | Accepting new patients |
| Lake Hospital System, Inc | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba FirstHealth Convenient Care-Raeford
- Family Medicine Physician
- Raeford, NC
- NPI 1437418142
-
- Specialist
- Pinehurst, NC
- NPI 1861445686
-
- Emergency Medicine Physician
- Willoughby, OH
- NPI 1518927995
-
- Urgent Care Clinic/Center
- Madison, OH
- NPI 1134189376
-
dba Lake Health Urgent Care and Walk In Clinic
- Urgent Care Clinic/Center
- Chardon, OH
- NPI 1689634966
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1588625784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843298",
"city": "BOSTON",
"state": "MA",
"postal_code": "022843298",
"telephone_number": "910-878-5100",
"fax_number": "910-878-5140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 FAYETTEVILLE RD",
"address_2": "SUITE A",
"city": "RAEFORD",
"state": "NC",
"postal_code": "283767998",
"telephone_number": "910-878-5100",
"fax_number": "910-878-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLGAN",
"first_name": "DENNIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35050777D",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0459504",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raeford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.