Organization Active NPI

Phillip R Dawkins MD PC

  • Cardiovascular Disease Physician
  • Jasper, IN
National Provider Identifier
1649284779
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01024458A Issued in IN
Legal business name
PHILLIP R DAWKINS MD PC
Practice address
950 Memorial Dr
Jasper, IN 47546-2625
Phone
(812) 482-5656
NPI assigned
Jul 27, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Dr. Phillip R Dawkins
Title
Owner
Phone
(812) 482-5656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X 01024458A IN Primary

Addresses

Primary practice location

950 Memorial Dr
Jasper, IN 47546-2625

Mailing address

950 Memorial Dr
Jasper, IN 47546-2625
Phone (812) 482-5656

Other identifiers 1

IdentifierTypeStateIssuer
DA2283OtherINRAILROAD MEDICARE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1649284779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 MEMORIAL DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462625",
            "telephone_number": "812-482-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 MEMORIAL DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462625",
            "telephone_number": "812-482-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIP R DAWKINS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "DAWKINS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-482-5656",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01024458A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA2283",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.