Provider Demographics
NPI:1851560403
Name:DAWSON, FRANK P IV (MD)
Entity Type:Individual
Prefix:
First Name:FRANK
Middle Name:P
Last Name:DAWSON
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5009 HONEYGO CENTER DR
Mailing Address - Street 2:SUITE 225
Mailing Address - City:PERRY HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21128-9828
Mailing Address - Country:US
Mailing Address - Phone:443-725-2100
Mailing Address - Fax:443-725-2121
Practice Address - Street 1:5009 HONEYGO CENTER DR
Practice Address - Street 2:SUITE 225
Practice Address - City:PERRY HALL
Practice Address - State:MD
Practice Address - Zip Code:21128-9828
Practice Address - Country:US
Practice Address - Phone:443-725-2100
Practice Address - Fax:443-725-2121
Is Sole Proprietor?:No
Enumeration Date:2008-02-28
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD672992080P0204X, 208000000X, 2080S0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports Medicine
No2080P0204XAllopathic & Osteopathic PhysiciansPediatricsPediatric Emergency Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD414441400Medicaid
MDS907Medicare PIN