NPIMap

Individual provider Active NPI

Theodore W Duensing, DO

  • Surgery Physician
  • Conway, AR
National Provider Identifier
1174517460
Registry record updated Apr 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
N7355 Issued in AR
Practice address
2210 Robinson Ave
Conway, AR 72034-4943
Phone
(501) 932-3500
Fax
(501) 932-3520
NPI assigned
Sep 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X N7355 AR Primary

Addresses

Primary practice location

2210 Robinson Ave
Conway, AR 72034-4943

Mailing address

2513 McCain Blvd
# 2-377
North Little Rock, AR 72116-7606
Phone (901) 737-3071

Other identifiers 2

IdentifierTypeStateIssuer
113633003MedicaidAR
243204724MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical PLLC Single Specialty Current Accepting new patients
Roy E Denton MD PA Single Specialty Past Accepting new patients
Harris Medical Clinics Inc. Single Specialty Past Accepting new patients
Dardanelle Emergency Medicine LLC Single Specialty Past Accepting new patients
Missouri Em-I Medical Services, PC Single Specialty Past Accepting new patients
National Healthcare of Newport Inc Single Specialty Past Accepting new patients
Genesis Emergency Medicine Services LLC Single Specialty Past Accepting new patients
Kennett Emergency Physicians Single Specialty Past Accepting new patients
Triage Emergency Physicians Single Specialty Past Accepting new patients
National Healthcare of Newport Inc Single Specialty Past Accepting new patients
Twin Rivers Emergency Physicians, LLC Single Specialty Past Accepting new patients

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554681600000",
    "number": "1174517460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2513 MCCAIN BLVD",
            "address_2": "# 2-377",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721167606",
            "telephone_number": "901-737-3071",
            "fax_number": "901-328-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 ROBINSON AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720344943",
            "telephone_number": "501-932-3500",
            "fax_number": "501-932-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENSING",
        "first_name": "THEODORE",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2019-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "AR",
            "license": "N7355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113633003",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "243204724",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

Verify at the official NPI Registry.