Larry G Duckert

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

MD00016657 Issued in WA

Practice address

1959 NE Pacific St
Seattle, WA 98195-6161

Phone

(206) 598-4022

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510099200000",
    "number": "1285724146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50095",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981455095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 NE PACIFIC ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956161",
            "telephone_number": "206-598-4022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKERT",
        "first_name": "LARRY",
        "middle_name": "G",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2017-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "WA",
            "license": "MD00016657",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "WA",
            "license": "MD00016657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERNAL ID-MOTOR VEHICLE ID",
            "identifier": "1735",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Rosswell Dubs, LMT
• Rebekah Ducharme-Hammer
• Anne Duchen
• Christopher Salim Duchene
• Jeffrey Scott Duchin
• Larissa Jean Duckett
• Sandrine Ducos, PA-C
• Savannah N Ducote, LMT
• Michael S Dudas, MD
• Gabriel Dudley - Berrios

• Otology & Neurotology Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Otology & Neurotology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; 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.