Dale Furukawa, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R7P40 Issued in MO

Practice address

505 Couch Ave
Suite 245
Saint Louis, MO 63122-5568

Phone

(314) 965-5868

Fax

(314) 965-0713

NPI assigned

Jul 24, 2006

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

Medicare fee-for-service enrollment

Enrolled in MO

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

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.

• Missouri Medical Partners LLC

  • Internal Medicine Physician
  • Fenton, MO
  • NPI 1720248065
  Medicare reassignment NPD
• SSM Medical Group Inc.

  • Durable Medical Equipment & Medical Supplies
  • Warrenton, MO
  • NPI 1467997155
  NPD (past)
• Woodland Manor of Arnold LLC

  • Skilled Nursing Facility
  • Arnold, MO
  • NPI 1245391507
  NPD (past)

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1326060831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7980 CLAYTON RD",
            "address_2": "SUITE 202",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171354",
            "telephone_number": "314-951-5368",
            "fax_number": "314-951-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 COUCH AVE",
            "address_2": "SUITE 245",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631225568",
            "telephone_number": "314-965-5868",
            "fax_number": "314-965-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURUKAWA",
        "first_name": "DALE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R7P40",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle M Furman, OT
• Nabilah Furqan
• Rasheedah Furqan
• Christopher Alan Furr, CPS
• Jenny Lynn Furtak, PNP
• Rachel Lynn Furuya
• Skyler Pele Fustos, MD
• Jacqueline S Futrell, RN, CDCES
• Future Focus of South City LLC
• FV at Home - Supportive Services, LLC

• Internal Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.