Individual provider Active NPI

Dwight Julius McFadden III, M.D., M.P.H.

  • Family Medicine Physician
  • New Philadelphia, OH
National Provider Identifier
1841213451
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35082662 Issued in OH
Practice address
716 Commercial Ave SW
New Philadelphia, OH 44663-9367
Phone
(330) 343-7605
Fax
(330) 343-3542
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35082662 OH Primary

Addresses

Primary practice location

716 Commercial Ave SW
New Philadelphia, OH 44663-9367

Mailing address

716 Commercial Ave SW
New Philadelphia, OH 44663-9367
Phone (330) 343-7605

Other identifiers 1

IdentifierTypeStateIssuer
2424808MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20050628000395 OH Practitioner - Family Practice 9931190055

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35082662OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wooster Obstetrics & Gynecology Inc PastSince Aug 11, 1997 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1841213451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 COMMERCIAL AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639367",
            "telephone_number": "330-343-7605",
            "fax_number": "330-343-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 COMMERCIAL AVE SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "446639367",
            "telephone_number": "330-343-7605",
            "fax_number": "330-343-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "DWIGHT",
        "middle_name": "JULIUS",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35082662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424808",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Philadelphia, OH

Sources for this page

Verify at the official NPI Registry.