Duncan Rheumatology Center, PLLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

22384 Issued in OK

Legal business name

DUNCAN RHEUMATOLOGY CENTER, PLLC

Practice address

1509 Brookwood Ave Ste B
Duncan, OK 73533-1315

Phone

(580) 786-4590

Fax

(580) 786-4593

NPI assigned

Dec 11, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amy Shultz, M.D.NPI 1063462430

Title

Physician/Owner

Phone

(405) 623-3307

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amy Lynn Shultz, MD

  • Rheumatology Physician
  • Duncan, OK
  • NPI 1063462430
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1355184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1003151424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 BROOKWOOD AVE STE B",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331315",
            "telephone_number": "580-786-4590",
            "fax_number": "580-786-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 BROOKWOOD AVE STE B",
            "city": "DUNCAN",
            "state": "OK",
            "postal_code": "735331315",
            "telephone_number": "580-786-4590",
            "fax_number": "580-786-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNCAN RHEUMATOLOGY CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-11",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-623-3307",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OK",
            "license": "22384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200469260A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duncan Regional Hospital, Inc. (Jefferson County Hospital d/b/a Park Clinic)
• Duncan Regional Hospital, Inc.
• Duncan Regional Hospital, Inc.
• Duncan Regional Hospital,Inc.
• Duncan Regional Orthopaedic Associates Inc (Duncan Orthopaedics)
• Robin Dyer
• Skyler Rheann Dziewa
• Eagle Partners, PLLC
• Caitlyn Easly, M.A., CF-SLP
• Whitney Alyse Eastwood, DPT

• Rheumatology Physician in Duncan, OK
• Providers in Duncan, OK by specialty
• Rheumatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.