Individual provider Active NPI

William Galen Dunagin, M.D.

  • Dermatology Physician
  • Kennebunk, ME
National Provider Identifier
1801978580
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD22175 Issued in ME
Practice address
2 Livewell Dr
Kennebunk, ME 04043
Phone
(207) 467-8800
NPI assigned
Oct 20, 2006
Last updated
Dec 2, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD-034276-E PA
Dermatology Physician 207N00000X MD22175 ME Primary

Addresses

Primary practice location

2 Livewell Dr
Kennebunk, ME 04043

Mailing address

1 Medical Center Dr
Biddeford, ME 04005-9422

Other practice location 1

108 N 13th St
Franklin, PA 16323-2312
Phone (814) 437-2122

Other practice location 2

108 N 13th St
Franklin, PA 16323-2312
Phone (814) 437-2122

Other identifiers 1

IdentifierTypeStateIssuer
1013907MedicaidPA

Other names 1

  • William G. Dunagin Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111110000307 PA Practitioner - Dermatology 5991888091 Practice locations: Franklin, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD22175MEMDDermatology Physician
MD-034276-EPAMDDermatology Physician

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1801978580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LIVEWELL DR",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-467-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "PA",
            "postal_code": "163232312",
            "country_code": "US",
            "telephone_number": "814-437-2122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 N 13th St",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "PA",
            "postal_code": "163232312",
            "country_code": "US",
            "telephone_number": "814-437-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNAGIN",
        "first_name": "WILLIAM",
        "middle_name": "GALEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD-034276-E",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "MD22175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013907",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "DUNAGIN",
            "middle_name": "G.",
            "credential": "M.D. DERMATOLOGY",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Kennebunk, ME

Sources for this page

Verify at the official NPI Registry.