Yale Douglas Dolginow, M.D.

Primary specialty

Clinical Pathology PhysicianTaxonomy code 207ZC0006X

License

G41081 Issued in CA

Practice address

91 Blue Creek Overlook
Carbondale, CO 81623-9793

Phone

(301) 266-8503

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1841555356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3314",
            "city": "BASALT",
            "state": "CO",
            "postal_code": "816213314",
            "telephone_number": "301-266-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BLUE CREEK OVERLOOK",
            "city": "CARBONDALE",
            "state": "CO",
            "postal_code": "816239793",
            "telephone_number": "301-266-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLGINOW",
        "first_name": "YALE",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "CA",
            "license": "G41081",
            "primary": true
        },
        {
            "code": "207ZC0006X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology",
            "state": "MD",
            "license": "D0048321",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Cusinato, MS, CNS, LDN
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• Michael Dennis Doherty, D.D.S.
• Jacqueline Edgerly, NTP
• Stacy Eldredge
• Gayle Embrey, MA, LPC, CACII
• Ryan Richard Erickson, ATC
• Eugene a Covello DDS PC

• Clinical Pathology Physician in Carbondale, CO
• Providers in Carbondale, CO by specialty
• Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.