Dana H Duckworth, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

R5B62 Issued in MO

Practice address

1500 State St
Lexington, MO 64067-1107

Phone

(660) 259-2203

Fax

(660) 259-6819

NPI assigned

Sep 15, 2005

Last updated

Jan 22, 2013By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bothwell Regional Health Center

  • General Acute Care Hospital
  • Sedalia, MO
  • NPI 1235102690
  Medicare reassignment NPD
• Midwest Division - LRHC LLC

  dba Lafayette Regional Health Center

  • Critical Access Hospital
  • Lexington, MO
  • NPI 1639362460
  Medicare reassignment NPD
• Bothwell Regional Health Center

  dba Cole Camp Clinic

  • Rural Health Clinic/Center
  • Cole Camp, MO
  • NPI 1497705313

  Family Medicine

  NPD
• Serafini Medical, P.C.

  • Family Medicine Physician
  • Blue Springs, MO
  • NPI 1184024408
  NPD (past)
• Emergency Medicine Physicians of Lenoir County PLLC

  • Emergency Medicine Physician
  • Kinston, NC
  • NPI 1518906478
  NPD (past)

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1396730461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E ORCHARD ST",
            "city": "ODESSA",
            "state": "MO",
            "postal_code": "640761578",
            "telephone_number": "816-682-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 STATE ST",
            "city": "LEXINGTON",
            "state": "MO",
            "postal_code": "640671107",
            "telephone_number": "660-259-2203",
            "fax_number": "660-259-6819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKWORTH",
        "first_name": "DANA",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "DO R5B62",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R5B62",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241556539",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2456383202",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Lexington
• Thomas R Corporon, MS, PLPC
• Laci Jade Crosson
• Madison Diaz, DDS
• Amy Dobson, P.L.P.C.
• Cody Ellison, RN
• Evolve Chiropractic LLC
• Family Health Medical
• Family Health Medical Practice LLC
• Foundations Therapy LLC

• Emergency Medicine Physician in Lexington, MO
• Providers in Lexington, MO by specialty
• Emergency Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.