Dina Forsthoffer Dlugos, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

003394 Issued in GA

Practice address

3400 McClure Bridge Rd
B201
Duluth, GA 30096-6675

Phone

(678) 957-8801

Fax

(678) 957-8804

NPI assigned

Nov 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Surgical Assistants of America, Inc.

  • Surgery Physician
  • Duluth, GA
  • NPI 1417977885

  Surgical

  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265155200000",
    "number": "1851373740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3460",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960059",
            "telephone_number": "678-957-8801",
            "fax_number": "678-957-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MCCLURE BRIDGE RD",
            "address_2": "B201",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966675",
            "telephone_number": "678-957-8801",
            "fax_number": "678-957-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DLUGOS",
        "first_name": "DINA",
        "middle_name": "FORSTHOFFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2010-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "003394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "754463940A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Dixon-Sibley
• Jeremy Dixon
• Monica Dixon, M.S., CCC-SLP
• William P Dixon, MD
• Mary Caldwell Djire, PT, DPT
• Sarah Walters DO Nascimento, PA-C
• Doan Speech Therapy LLC
• Doctors Hospice of Georgia, Inc
• Sandra J Dodd
• Claire Morgan Doggett

• Surgical Physician Assistant in Duluth, GA
• Providers in Duluth, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.