Individual provider Active NPI

William Tanner Dawson, M.D.

  • Diagnostic Radiology Physician
  • Marrero, LA
National Provider Identifier
1821291915
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
205371 Issued in LA
Practice address
1111 Medical Center Blvd
Suite N-108
Marrero, LA 70072-3151
Phone
(504) 349-1461
Fax
(504) 349-1461
NPI assigned
Jun 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 205371 LA Primary

Addresses

Primary practice location

1111 Medical Center Blvd
Suite N-108
Marrero, LA 70072-3151

Mailing address

1111 Medical Center Blvd
Suite N-108
Marrero, LA 70072-3151
Phone (504) 349-1461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20120709000725 LA Practitioner - Diagnostic Radiology 1951566389 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in New Orleans, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Radiology Associates, Inc.Group PAC ID 0143289363, 14 clinicians
WJH Physician ServicesGroup PAC ID 0941510986, 15 clinicians

Practice addresses (Care Compare)

1101 Medical Ctr Blvd
Marrero, LA 70072-3191
Phone (504) 349-1461

1111 Medical Ctr Blvd
Suite S250
Marrero, LA 70072-3153
Phone (504) 349-6945

2121 Ridgelake Dr
Metairie, LA 70001-2080
Phone (504) 349-1461

4200 Houma Blvd
Metairie, LA 70006-2970
Phone (504) 503-4314

4513 Westbank Expressway
Cancer Center at W Jefferson Med Center CLN
Marrero, LA 70072-3120
Phone (504) 349-6360

5620 Read Blvd
New Orleans, LA 70127-3106
Phone (504) 592-6578

Hospital & facility affiliations

  • East Jefferson General Hospital Hospital, Metairie, LA, CCN 190176
  • West Jefferson Medical Center Hospital, Marrero, LA, CCN 190039
  • New Orleans East Hospital Hospital, New Orleans, LA, CCN 190313
  • University Medical Center New Orleans Hospital, New Orleans, LA, CCN 190005
  • Ochsner Medical Center Acute Hospital, New Orleans, LA, CCN 190036

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.01 of 100Reported as group
Quality
80.35
Improvement activities
40
Cost
79.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
205371LAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Jefferson MRI, LLC CurrentSince May 16, 2017 Accepting new patients
Jefferson Radiology Associates, Inc Diagnostic Radiology CurrentSince Jul 1, 2012 Accepting new patients
West Jefferson MRI, LLC CurrentSince Jul 1, 2012 Accepting new patients

Locations

2845 Manhattan Blvd
Harvey, LA 70058
Phone (504) 349-6930

1111 Medical Center Blvd
Ste N110
Marrero, LA 70072
Phone (504) 349-6191

1111 Medical Center Blvd
Ste N108
Marrero, LA 70072
Phone (504) 349-1461

4525 Westbank Expy
Ste B
Marrero, LA 70072
Phone (504) 349-6570

1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511

4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028

2121 Ridgelake Dr
Metairie, LA 70001
Phone (504) 349-1461

5620 Read Blvd
New Orleans, LA 70127
Phone (504) 241-2664

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1821291915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N-108",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-1461",
            "fax_number": "504-349-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 MEDICAL CENTER BLVD",
            "address_2": "SUITE N-108",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723151",
            "telephone_number": "504-349-1461",
            "fax_number": "504-349-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAWSON",
        "first_name": "WILLIAM",
        "middle_name": "TANNER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-07",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "LA",
            "license": "205371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.