Active NPI
David Doerrfeld, M.D.
- Obstetrics & Gynecology Physician
- Longview, TX
National Provider Identifier
1801891635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- K6838
- Practice address
- 802 Medical Dr
Suite 202
Longview, TX 75605-5153 - Phone
- (903) 315-2710
- Fax
- (903) 315-5092
- NPI assigned
- Jun 17, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | K6838 | TX | Primary |
Addresses
Primary practice location
802 Medical Dr
Suite 202
Longview, TX 75605-5153
Mailing address
PO Box 847176
Dallas, TX 75284-7176
Phone (903) 237-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030729004 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K6838 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Obstetrics PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Longview Wellness Center Inc | Obstetrics & Gynecology | Past | Accepting new patients |
| HCA Houston OB Hospitalist, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Columbia Hospital at Medical City Dallas Subsidiary LP | Past | Accepting new patients | |
| Diagnostic Clinic of Longview PA | Obstetrics & Gynecology | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Medical City Dallas
- General Acute Care Hospital
- Dallas, TX
- NPI 1689628984
-
- Internal Medicine Physician
- Longview, TX
- NPI 1386638468
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Corpus Christi, TX
- NPI 1144081431
-
dba Wellness Pointe
- Federally Qualified Health Center (FQHC)
- Longview, TX
- NPI 1578369922
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Plano, TX
- NPI 1184897159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483401600000",
"number": "1801891635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847176",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847176",
"telephone_number": "903-237-1800",
"fax_number": "903-237-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 MEDICAL DR",
"address_2": "SUITE 202",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055153",
"telephone_number": "903-315-2710",
"fax_number": "903-315-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOERRFELD",
"first_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-17",
"last_updated": "2017-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "K6838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030729004",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.