Active NPI
Chadwick T Dybowski, M.D.
- Anesthesiology Physician
- Mt Pleasant, SC
National Provider Identifier
1669529434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 4301074478
- Practice address
- 2000 Hospital Dr
Mt Pleasant, SC 29464-3764 - Phone
- (843) 416-6295
- NPI assigned
- Jan 4, 2007
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301074478 | MI | Primary |
Addresses
Primary practice location
2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Mailing address
2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Phone (843) 416-6295
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4520733-10 | Medicaid | MI |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Macatawa Anesthesia PC | Anesthesiology | Past | Accepting new patients |
| Macomb Anesthesia, PC | Anesthesiology | 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.
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-
- Anesthesiology Physician
- Clinton Township, MI
- NPI 1639248206
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343088000000",
"number": "1669529434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HOSPITAL DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643764",
"telephone_number": "843-416-6295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HOSPITAL DR",
"city": "MT PLEASANT",
"state": "SC",
"postal_code": "294643764",
"telephone_number": "843-416-6295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DYBOWSKI",
"first_name": "CHADWICK",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2012-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301074478",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4520733-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mt Pleasant, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.