STANTON FORREST DODSON M.D. NPI 1942238803

NPI Information

NPI: 1942238803
Provider Name: STANTON FORREST DODSON, M.D.
Classification: Transplant Surgery - 204F00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
701 NW 13TH STREET
SUITE 3097
BOCA RATON, FL
ZIP 33486
Phone: (561) 955-6631
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Stanton Forrest Dodson, M.D. is a transplant surgery in Boca Raton, FL with 38 years of experience. The provider is a surgeon who specializes in transplant surgery. Source: National Uniform Claim Committee Stanton Forrest Dodson, M.D. NPI is 1942238803. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: EASTERN VIRGINIA MEDICAL SCHOOL
Graduation Year:1986

The provider's business location address is:

701 NW 13TH STREET
SUITE 3097
BOCA RATON, FL
ZIP 33486
Phone: (561) 955-6631
Fax: (561) 955-7258

The NPI 1942238803 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 enumeration date for this NPI number is 6/29/2006 and was last updated on 6/14/2016.

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
1	204F00000X	Transplant Surgery		036-106378	ILLINOIS	No
2	204F00000X	Transplant Surgery		ME115150	FLORIDA	Yes

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
1	F55369	MEDICARE UPIN	ILLINOIS
2	L95224	MEDICARE ID-TYPE UNSPECIFIED	ILLINOIS

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: 4/28/2024

NPI Synchronization or Removal

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