Charles W Dunn, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

R9N08 Issued in MO

Practice address

1222 S Delaware Ave
Springfield, MO 65804-0204

Phone

(417) 860-7743

Fax

(417) 269-7567

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: charles.dunn@cernerdirect.coxhealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ozarks Medical Center

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1053418152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 S DELAWARE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040204",
            "fax_number": "417-269-7567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 S DELAWARE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658040204",
            "telephone_number": "417-860-7743",
            "fax_number": "417-269-7567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "R9N08",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118554001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202933115",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madeleine Grace Duncan, MA, BCBA, LBA
• Nathan A Duncan, LCSW
• Wanita Duncan, MS,CCC-SLP
• William H Duncan, MD
• Alexandria Dunlop
• Darin Dunn
• Duocorp Enterprises, LLC
• Mark William Dupire, PHARM D
• Brett T. Durbin, D.D.S.
• Abigail Christine Durfee, PLBA

• Vascular Surgery Physician in Springfield, MO
• Providers in Springfield, MO by specialty
• Vascular Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.