Karen E. Doerry, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2004001441 Issued in MO

Practice address

821 Westwood Dr
Sedalia, MO 65301-2102

Phone

(660) 826-4774

Fax

(660) 826-1300

NPI assigned

May 28, 2006

Sex

Female

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

State licenses

Practice roles

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.

• Citizens for Health and Wellness

  • Family Medicine Physician
  • Versailles, MO
  • NPI 1477862936
  NPD (past)
• Emergency Services of Kansas, PA

  • Internal Medicine Physician
  • Newton, KS
  • NPI 1104864503

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265932800000",
    "number": "1275580771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 QUAIL TRL",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640932896",
            "telephone_number": "660-747-5763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 WESTWOOD DR",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012102",
            "telephone_number": "660-826-4774",
            "fax_number": "660-826-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERRY",
        "first_name": "KAREN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2010-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2004001441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "33536013",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208797209",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laceylynn E Daye, MA, PLPC
• Amber Dean, FNP-C
• William E Decker, MD
• Dialysis Clinic Inc.
• Gregory A Doak, MD
• Donald E. Hicks,D.D.S.,P.C.
• Dr Barbara Knight OD PC
• Dr Gary C Kitto and Associates LLC
• Dr. Gary C. Kitto and Associates
• Rose Marie Drake, O.D.

• Family Medicine Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; 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.