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JOHN DWYER POWDERLY M.D. NPI 1265453047


NPI Information

NPI: 1265453047
Provider Name: JOHN DWYER POWDERLY, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
9801 KINCEY AVE
SUITE 145
HUNTERSVILLE, NC
ZIP 28078
Phone: (704) 947-6599
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John Dwyer Powderly, M.D. is a hematology and oncology internal medicine in Huntersville, NC. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. John Dwyer Powderly, M.D. NPI is 1265453047. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9801 KINCEY AVE
SUITE 145
HUNTERSVILLE, NC
ZIP 28078-110
Phone: (704) 947-6599
Fax: (704) 947-6597

The NPI 1265453047 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/10/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine200000939NORTH CAROLINANo
2207RH0003XInternal MedicineHematology & Oncology200000939NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18912618MEDICAIDNORTH CAROLINA
24859724OTHERNORTH CAROLINACIGNA
35478100001MEDICARE NSCNORTH CAROLINA
4P00467977MEDICARE PINNORTH CAROLINA
52280910DMEDICARE PINNORTH CAROLINA
612618OTHERNORTH CAROLINABCBS INDIVIDUAL NUMBER
7E2701OTHERNORTH CAROLINAMEDCOST
87413187OTHERNORTH CAROLINAAETNA PIN
9203016908OTHERNORTH CAROLINATAX ID
10G92364MEDICARE UPINNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.