M Shane Dawson MD PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

M SHANE DAWSON MD PLLC

Practice address

122 E 76TH St Ofc 1B
New York, NY 10021-2833

Phone

(212) 548-3267

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Matthew S Dawson, MD

Title

Medical Doctor

Phone

(212) 548-3267

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.

• Stephen David Clark, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1598962847
  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1740755685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 E 76TH ST OFC 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E 76TH ST OFC 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212833",
            "telephone_number": "212-548-3267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M SHANE DAWSON MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "212-548-3267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "225166",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Tara M. Mahvelati, OD
• M. Zakir Sabry, MD, PC

• Surgery Physician in New York, NY
• Providers in New York, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.