DWIGHT D. IM MD – NPI #1770521130
Obstetrics & Gynecology

An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

DWIGHT IM is a physician located in BALTIMORE, MD. NPPES has assigned the NPI number 1770521130 to DWIGHT IM on June 04, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207VX0201X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecologic Oncology

The NPI profile was previously updated about 12 years ago on Mar 26, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DWIGHT IM below.

NPI Profile for
DWIGHT D. IM

NPI Number
1770521130
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DWIGHT D. IM
Credentials
MD
Primary location
227 ST. PAUL PLACE
6TH FLOOR
BALTIMORE, MD 21202-2102
Phone: (410) 332-9002 Fax: (410) 783-5880
Mailing address
301 SAINT PAUL PL
MEDICAL STAFF OFFICE
BALTIMORE, MD 21202-2102
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for DWIGHT IM

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBC / BS OF MDMDKT93ST / 528170-06
OTHERBLUECHOICEMDS186 / 0013
MEDICAIDMD447571200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0201X
- Obstetrics & Gynecology / Gynecologic Oncology (Primary)
MD D0043934

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC) - Graduated 1989
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DWIGHT IM is affiliated with the following medical group(s):
  • HOSPITAL
    • ATLANTIC GENERAL HOSPITAL
      9733 HEALTHWAY DRIVE
      BERLIN, MD 21811
    • BEEBE MEDICAL CENTER
      424 SAVANNAH RD
      LEWES, DE 19958
    • MERCY MEDICAL CENTER INC
      301 SAINT PAUL PLACE
      BALTIMORE, MD 21202
    • PENINSULA REGIONAL MEDICAL CENTER
      100 EAST CARROLL AVENUE
      SALISBURY, MD 21801
    • SAINT AGNES HOSPITAL
      900 CATON AVENUE
      BALTIMORE, MD 21229

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