Active NPI
George Brian Dueber, DO
- Adult Medicine Physician
- Westport, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- OP00001786
- Practice address
- 723 N. Montesano
Westport, WA 98595 - Phone
- (360) 268-0195
- Fax
- (360) 268-1442
- NPI assigned
- Mar 1, 2007
- Last updated
- Aug 1, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 8497 | ND | |
| Adult Medicine Physician | 207QA0505X | OP00001786 | WA | Primary |
Addresses
Primary practice location
723 N. Montesano
Westport, WA 98595
Mailing address
723 N. Montesano
PO Box 2229
Westport, WA 98595
Phone (360) 268-0195
Other practice location 1
1031 7th St NE
Devils Lake, ND 58301-2719
Phone (701) 662-2131
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1461174 | Medicaid | ND | |
| #8312522 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 83.64 of 100
- Quality
- 78.29
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8497 | ND | MD | Family Medicine Physician |
| OP00001786 | WA | MD | Adult Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Pacific County Hospital District 2 | Current | Accepting new patients | |
| Pacific County Hospital District 2 | Family Medicine | Current | Accepting new patients |
| Mercy Hospital of Devils Lake | Current | Accepting new patients | |
| Clallam County Public Hospital District No 1 | Current | Accepting new patients | |
| Presentation Medical Center | Past | Accepting new patients | |
| Beach Clinic Inc P S | Family Medicine | Past | Accepting new patients |
Locations
3290 Solutions Ctr
Chicago, IL 60677
1031 7th St NE
Devils Lake, ND 58301
Phone (701) 662-2131
530 Bogachiel Way
Forks, WA 98331
Phone (360) 374-5011
Organizations & group practices 8
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.
-
dba Forks Community Hospital
- Critical Access Hospital
- Forks, WA
- NPI 1891879680
-
dba Willapa Harbor Hospital
- Critical Access Hospital
- South Bend, WA
- NPI 1295708683
-
dba CHI St Alexius Health Devils Lake
- Emergency Medicine Physician
- Devils Lake, ND
- NPI 1790751170
-
- Emergency Medicine Physician
- Sunnyside, WA
- NPI 1033529367
-
dba Willapa Medical Clinic
- Rural Health Clinic/Center
- South Bend, WA
- NPI 1760582522
Family Medicine
-
dba CHI St Alexius Health Devils Lake Clinic
- Clinic/Center
- Devils Lake, ND
- NPI 1184117293
-
- Family Medicine Physician
- Westport, WA
- NPI 1770787335
-
- Medicare Defined Swing Bed Hospital Unit
- Rolla, ND
- NPI 1619033917
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1265560049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "723 N. MONTESANO",
"address_2": "PO BOX 2229",
"city": "WESTPORT",
"state": "WA",
"postal_code": "98595",
"telephone_number": "360-268-0195",
"fax_number": "360-268-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "723 N. MONTESANO",
"city": "WESTPORT",
"state": "WA",
"postal_code": "98595",
"telephone_number": "360-268-0195",
"fax_number": "360-268-1442"
}
],
"practiceLocations": [
{
"address_1": "1031 7th St NE",
"address_purpose": "LOCATION",
"city": "Devils Lake",
"state": "ND",
"postal_code": "583012719",
"country_code": "US",
"telephone_number": "701-662-2131",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUEBER",
"first_name": "GEORGE",
"middle_name": "BRIAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-01",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "8497",
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "WA",
"license": "OP00001786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1461174",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "#8312522",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Westport, WA
- Anne K Bedford, OD
- Margery Roxane Dela Cruz
- Laurie L Deranleau, RND
- Rebecca Dornbush, PTA
- Dr Sean Spaulding PLLC
- Shelly Joyce Dueber, D.O.
- Sara Goeddel, DPT
- Grays Harbor Community Hospital (GHCH Westport Clinic)
- Grays Harbor Community Hospital (GHCH Westport Clinic)
- Grays Harbor Community Hospital (Westport Rehab Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.