Walter I Dumorne, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

0800299 Issued in KS

Practice address

1301 KS Highway 264
Larned, KS 67550-5353

Phone

(620) 804-1035

NPI assigned

Nov 2, 2007

Last updated

Nov 2, 2007By the provider in NPPES

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 1

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/e13c1e21-bd04-471c-b46a-cb74f87dcaaa/

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.

• State of Kansas-Accounting Services

  dba Larned State Hospital

  • Psychiatric Hospital
  • Larned, KS
  • NPI 1144422197
  Medicare reassignment NPD
• State of Kansas

  dba Rainbow Mental Health Facility

  • Psychiatric Hospital
  • Kansas City, KS
  • NPI 1114920980
  NPD

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1245419563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 KS HIGHWAY 264",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-804-1035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 KS HIGHWAY 264",
            "city": "LARNED",
            "state": "KS",
            "postal_code": "675505353",
            "telephone_number": "620-804-1035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMORNE",
        "first_name": "WALTER",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "0800299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KANSAS LICENSE NUMBER",
            "identifier": "0800299",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gerard Derisse, MD
• Louis R. Derose, M.D.
• Diversicare of Larned LLC (Diversicare of Larned)
• Dr. Douglas D. Ayre Optometrist P a (Larned Eye Health)
• Logan Duerksen, A.P.R.N.
• Sandra Ann Dunavan, ARNP
• Kelly Christine Edison, PH.D
• Jose Eyma
• Rebecca Anne Farr, PSY.D.
• Kathryn Fenton-Glover, OTR

• Psychiatry Physician in Larned, KS
• Providers in Larned, KS by specialty
• Psychiatry Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.