DR. HENRY HARTZOG DORN M.D. NPI 1811053762

NPI Information

  • NPI: 1811053762
  • Provider Name: DR. HENRY HARTZOG DORN, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 34D2005815
  • Address: 405 LINDSAY STREET
    HIGH POINT, NC
    ZIP 27262
  • Phone: (336) 889-2000

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NPI Details

DR. Henry Hartzog Dorn, M.D. is a specialist in High Point, NC with 29 years of experience. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Henry Hartzog Dorn, M.D. NPI is 1811053762. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduation Year:1996

The provider's business location address is:

405 LINDSAY STREET
HIGH POINT, NC
ZIP 27262-829
Phone: (336) 889-2000
Fax: (336) 889-2027

The NPI 1811053762 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 34D2005815 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/28/2006 and was last updated on 4/22/2011.

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
1174400000XSpecialist200000776NORTH 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
11266KOTHERNORTH CAROLINABCBS
22280905BMEDICARE PINNORTH CAROLINA
3891266KMEDICAIDNORTH 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: 3/30/2025

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