E Gary McDougal, MD, PLLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

26127 Issued in NC

Legal business name

E GARY MCDOUGAL, MD, PLLC

Practice address

1899 Tate Blvd SE
Suite 2106
Hickory, NC 28602-4200

Phone

(828) 322-9105

Fax

(828) 328-4999

NPI assigned

Dec 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. E Gary McDougal, MD

Title

President

Phone

(828) 322-9105

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1197936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223856000000",
    "number": "1760666481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE",
            "address_2": "SUITE 2106",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-322-9105",
            "fax_number": "828-328-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1899 TATE BLVD SE",
            "address_2": "SUITE 2106",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286024200",
            "telephone_number": "828-322-9105",
            "fax_number": "828-328-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E GARY MCDOUGAL, MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-18",
        "last_updated": "2008-10-13",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "E",
        "authorized_official_middle_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-322-9105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "NC",
            "license": "26127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5950199",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "56268",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Grable Dunning, SNM
• David R. Duralia, M.D
• Robin Anne Dycus, MSW LCSW
• Tanya Dyer, FNP
• Matthew D Dyson, M.D.
• E.M.Services, LLC
• Danielle Elsie Eades, PA-C
• Tracy Ivan Earl, P.A.
• Rachel Earley, MA, CCC-SLP
• April Nacoli Earp, RN

• Surgery Physician in Hickory, NC
• Providers in Hickory, NC by specialty
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.