DR. ERIC STEPHEN DUGAN, MD - NPI NUMBER 1225073067

Summary

Provider Name: DR. ERIC STEPHEN DUGAN, MD

NPI Number: 1225073067

Clasification: Family Medicine (207Q00000X)

Address:
9372 HWY 165 SOUTH
WOODWORTH, LA
ZIP 71485

Phone Number: (318) 484-9588



Detailed Information

DR. Eric Stephen Dugan, MD is a family physician in Woodworth, LA. The provider is 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. The assigned NPI number for this provider is 1225073067 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

9372 HWY 165 SOUTH
WOODWORTH, LA
ZIP 71485
Phone: (318) 484-9588
Fax: (318) 484-9590

The enumeration date for this NPI number is 6/17/2006 and was last updated on 10/10/2012.

Map - Location of Practice

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Taxonomy Codes

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
1 207Q00000X Family Medicine 15766R LA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 4J274 MEDICARE ID-TYPE UNSPECIFIED LA
2 I23482 MEDICARE UPIN LA
3 1466476 MEDICAID LA

NPI Record

No. Field Name Field Value
1 NPI 1225073067
2 Entity Type Code 1
3 Provider Last Name Legal Name DUGAN
4 Provider First Name ERIC
5 Provider Middle Name STEPHEN
6 Provider Name Prefix Text DR.
7 Provider Credential Text MD
8 Provider First Line Business Practice Location Address 9372 HWY 165 SOUTH
9 Provider Business Practice Location Address City Name WOODWORTH
10 Provider Business Practice Location Address State Name LA
11 Provider Business Practice Location Address Postal Code 71485
12 Provider Business Practice Location Address Country Code If outside U S US
13 Provider Business Practice Location Address Telephone Number 3184849588
14 Provider Business Practice Location Address Fax Number 3184849590
15 Provider Enumeration Date 6/17/2006
16 Last Update Date 10/10/2012
17 Provider Gender Code M
18 Healthcare Provider Taxonomy Code 1 207Q00000X
19 Provider License Number 1 15766R
20 Provider License Number State Code 1 LA
21 Healthcare Provider Primary Taxonomy Switch 1 Y
22 Other Provider Identifier 1 4J274
23 Other Provider Identifier Type Code 1 04
24 Other Provider Identifier State 1 LA
25 Other Provider Identifier 2 I23482
26 Other Provider Identifier Type Code 2 02
27 Other Provider Identifier State 2 LA
28 Other Provider Identifier 3 1466476
29 Other Provider Identifier Type Code 3 05
30 Other Provider Identifier State 3 LA
31 Is Sole Proprietor N

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This page was last updated on: 12/10/2014
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.