Individual provider Active NPI

Tommy Ray Duncan, NURSE ANESTHETIST

  • Certified Registered Nurse Anesthetist
  • Nocona, TX
National Provider Identifier
1184894313
Registry record updated May 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
235016 Issued in TX
Practice address
100 Park Rd
Nocona, TX 76255-3616
Phone
(940) 825-3235
Fax
(940) 825-3604
NPI assigned
Mar 4, 2008
Last updated
May 30, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 235016 TX Primary

Addresses

Primary practice location

100 Park Rd
Nocona, TX 76255-3616

Mailing address

100 Park Rd
Nocona, TX 76255-3616
Phone (940) 825-3235

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
235016TXMDCertified Registered Nurse Anesthetist

NPI Registry JSON

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1184894313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762553616",
            "telephone_number": "940-825-3235",
            "fax_number": "940-825-3604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK RD",
            "city": "NOCONA",
            "state": "TX",
            "postal_code": "762553616",
            "telephone_number": "940-825-3235",
            "fax_number": "940-825-3604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "TOMMY",
        "middle_name": "RAY",
        "name_prefix": "Mr.",
        "credential": "NURSE ANESTHETIST",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "235016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nocona, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.