Active NPI
George M Dodds I, M.D.
- Internal Medicine Physician
- Gouverneur, NY
National Provider Identifier
1982644019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 243767
- Practice address
- 77 W. Barney St.
Gouverneur, NY 13642 - Phone
- (315) 287-4440
- Fax
- (315) 287-1858
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 243767 | NY | |
| Pediatric Adolescent Medicine Physician | 2080A0000X | 243767 | NY | |
| Internal Medicine Physician | 207R00000X | 243767 | NY | Primary |
Addresses
Primary practice location
77 W. Barney St.
Gouverneur, NY 13642
Mailing address
50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 261-6034
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01270039 | Medicaid | NY | |
| 01995615 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442361600000",
"number": "1982644019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 LEROY ST",
"city": "POTSDAM",
"state": "NY",
"postal_code": "136761786",
"telephone_number": "315-261-6034",
"fax_number": "315-261-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W. BARNEY ST.",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "13642",
"telephone_number": "315-287-4440",
"fax_number": "315-287-1858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODDS",
"first_name": "GEORGE",
"middle_name": "M",
"name_suffix": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2015-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "243767",
"primary": false
},
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "NY",
"license": "243767",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "243767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01270039",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01995615",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gouverneur, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.