DR. DOUGLAS S DEWAR (NPI# 1376524900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376524900 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS S DEWAR |
| Credential | M.D. |
| Practice Address |
820 W Race St Kingston TN 37763-2120 |
| Practice Telephone | 8653763406 |
| Practice Fax Number | 8653769091 |
| Mailing Telephone | 8653763406 |
| Mailing Fax Number | 8653769091 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2009-12-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD20502 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS | 3136630 | 01 |
| TN | 3051750 | 05 |
| Street Address |
820 W RACE ST |
| City | KINGSTON |
| State | TN |
| Zip Code | 37763-2120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746554 | Dwight H Willett | Family Medicine | 820 W Race St, Kingston, TN 37763-2120 | 2005-11-08 |
| 1336287705 | Beverly Kay Glasure | Physician Assistant | 820 W Race St, Kingston, TN 37763-2120 | 2007-02-01 |
| 1356432041 | Kingston Family Practice, P.C. | Clinic/Center | 820 W Race St, Kingston, TN 37763-2120 | 2006-09-27 |
| 1215968193 | Farzana Sharmin Iqbal | Internal Medicine | 820 W Race St, Kingston, TN 37763-2120 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124445937 | Jessica Shea Kirkland | Physical Therapist | 629 Gallher Rd, Kingston, TN 37763 | 2014-03-19 |
| 1639328529 | Kenneth P Fus | Pharmacist | 106 W. Race Street, Kingston, TN 37763 | 2008-09-16 |
| 1558580266 | Total Mobility Inc | Durable Medical Equipment & Medical Supplies | 2644 Decatur Hwy, Kingston, TN 37763 | 2007-04-24 |
| 1699824789 | James David Walmsley Jr. | Dentist | 1011 Waterford Pl, Kingston, TN 37763 | 2007-01-09 |
| 1689618886 | William Joseph Roberts | General Practice | 1445 Kingston Way, Kingston, TN 37763 | 2006-06-16 |
| 1851356851 | Larry D Ladd | Physical Therapist | 100 E Race St, A, Kingston, TN 37763 | 2006-04-20 |
| 1497725964 | Elizabeth Turner | Social Worker | 1002 Bradford Way, Kingston, TN 37763 | 2006-01-25 |
| 1073064309 | Elizabeth Jennings Ivey | Counselor | 508 N Kentucky St Ste 4, Kingston, TN 37763 | 2016-10-21 |
| 1982966966 | Megan H Chapman | Physician Assistant | 933 W Race St, Kingston, TN 37763 | 2012-06-14 |
| 1568609220 | Michelle Carr | Occupational Therapist | 187 Gallaher Rd, Kingston, TN 37763 | 2009-01-15 |
| Find all providers in zip 37763 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234252 | Healthstar Physicians of Hot Springs, Pllc | Family Medicine | 220 Madison 2620, Kingston, AR 72742 | 2020-10-29 |
| 1912423468 | Vintage Direct Primary Care | Family Medicine | 25985 Barbr Cutff Rd Ne Ste B1, Kingston, WA 98346-9596 | 2017-08-16 |
| 1063945798 | Danielle Isenburg | Family Medicine | 1240 Ulster Ave Ste 104, Kingston, NY 12401-1517 | 2017-04-10 |
| 1437546140 | Nedal Amin Elass | Family Medicine | 701 Highway 70 E, Kingston, OK 73439-8253 | 2015-04-20 |
| 1790188639 | Lakeside Family Medicine | Family Medicine | 714 Hwy 70 E, Kingston, OK 73439 | 2014-10-07 |
| 1033459680 | Health Quest Medical Practice | Family Medicine | 40 Hurley Ave Ste 18, Kingston, NY 12401-3738 | 2013-02-19 |
| 1295064178 | Lakeside Family Medicine | Family Medicine | 21 N. Main Street, Kingston, OK 73439-1798 | 2009-12-23 |
| 1871769125 | Ira Vohra | Family Medicine | 610 Wyoming Ave Ste 1, Kingston, PA 18704-3702 | 2008-05-07 |
| 1801067145 | Michael E Fath, D.o., P.c | Family Medicine | 618 Wyoming Ave, Kingston, PA 18704-3702 | 2008-03-14 |
| 1275702961 | Baptist Healthcare of Oklahoma | Family Medicine | 700 S Muncrief At Hwy 70, Kingston, OK 73439-0762 | 2008-02-27 |
| Find all providers in KINGSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.