MR. KENNETH D DOTSON RPA-C
NPI 1457534364
Physician Assistant - Medical in East Stroudsburg, PA

Active since December 13, 2007PECOS Enrolled
206 E BROWN ST, EAST STROUDSBURG, PA 18301(570) 421-4000 Get Directions Write a Review

NPPES record last updated: September 26, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth D Dotson Rpa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KENNETH D DOTSON RPA-C (NPI 1457534364) is an individual medical provider in East Stroudsburg, Pennsylvania, licensed in Pennsylvania (MA051281) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457534364
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. KENNETH D DOTSONCredential: RPA-C
Location Address206 E BROWN STEast Stroudsburg, PA 18301-3006
Mailing Address2407 Mountain RdStroudsburg, PA 18360-6708 · (570) 856-6200 · Fax (570) 445-4553
Sole ProprietorNo
Enumeration DateDecember 13, 2007
Last NPPES UpdateSeptember 26, 2014
NPI 1457534364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in PA · MA051281
206 E BROWN ST, East Stroudsburg, PA 18301

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Kenneth D Dotson Rpa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Nurse Anesthetist, Certified Registered
206 E BROWN ST
E STROUDSBURG, PA 18301
Pharmacist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Medical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Obstetrics & Gynecology
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Thoracic Surgery (Cardiothoracic Vascular Surgery)
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Speech-Language Pathologist
206 E BROWN ST
EAST STROUDSBURG, PA 18301
Physician Assistant (Surgical)
206 E BROWN ST
EAST STROUDSBURG, PA 18301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Dotson's NPI number?

The NPI number for Kenneth Dotson is 1457534364. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Where is Kenneth Dotson located?

Kenneth Dotson practices at 206 E Brown St, East Stroudsburg, PA 18301. The listed phone number is (570) 421-4000.

What is Kenneth Dotson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kenneth Dotson enrolled in Medicare?

Yes. Kenneth Dotson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Dotson was last updated on September 26, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.