Individual provider Active NPI

Michael Trayser Dunaway

  • Surgery Physician
  • Camden, SC
National Provider Identifier
1972747517
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
12735 Issued in SC
Practice address
1413 Mill St
Camden, SC 29020-2934
Phone
(803) 425-8555
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12735 SC Primary

Addresses

Primary practice location

1413 Mill St
Camden, SC 29020-2934

Mailing address

1413 Mill St
Camden, SC 29020-2934
Phone (803) 425-8555

Other names 1

  • Dr. M. Tray Dunaway Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20140829000283 SC Practitioner - Colorectal Surgery (Proctology) 3678791811 Practice locations: Hopkins, SC

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12735SCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sentinel Health Partners, PA Surgery Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1972747517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202934",
            "telephone_number": "803-425-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 MILL ST",
            "city": "CAMDEN",
            "state": "SC",
            "postal_code": "290202934",
            "telephone_number": "803-425-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "MICHAEL",
        "middle_name": "TRAYSER",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "12735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "M.",
            "last_name": "DUNAWAY",
            "middle_name": "TRAY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Camden, SC

Sources for this page

Verify at the official NPI Registry.