Active NPI
William S Dukart, MD
- Pediatrics Physician
- Ronceverte, WV
National Provider Identifier
1346273471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 12936
- Practice address
- 200 Maplewood Ave
Ronceverte, WV 24970-1334 - Phone
- (304) 647-1146
- Fax
- (304) 647-3006
- NPI assigned
- Jul 9, 2006
- Last updated
- Mar 12, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 12936 | WV | Primary |
Addresses
Primary practice location
200 Maplewood Ave
Ronceverte, WV 24970-1334
Mailing address
200 Maplewood Ave
Ronceverte, WV 24970-1334
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 997126001 | Other | WV | CIGNA |
| 370004014 | Other | WV | RAILROAD MEDICARE |
| 4502186 | Other | WV | AETNA |
| 58183 | Other | WV | SOUTHERN HEALTH |
| 849938 | Other | WV | MAMSI |
| 0112336000 | Medicaid | WV | |
| 282375 | Other | WV | ANTHEM BCBS |
| 007 | Other | WV | MTST BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12936 | WV | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1346273471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MAPLEWOOD AVE",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249701334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MAPLEWOOD AVE",
"city": "RONCEVERTE",
"state": "WV",
"postal_code": "249701334",
"telephone_number": "304-647-1146",
"fax_number": "304-647-3006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKART",
"first_name": "WILLIAM",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-09",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WV",
"license": "12936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "997126001",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "370004014",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4502186",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "58183",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "849938",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0112336000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "282375",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MTST BCBS",
"identifier": "007",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ronceverte, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.