Dennis Gregory Duncan, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0110003793 Issued in VA

Practice address

3390 Colonial Ave
Roanoke, VA 24018-3740

Phone

(540) 772-1006

Fax

(540) 772-1086

NPI assigned

Jan 31, 2012

Last updated

Jun 6, 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

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Roanoke Family Medicine Inc

  • Family Medicine Physician
  • Roanoke, VA
  • NPI 1508963794
  Medicare reassignment

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

{
    "created_epoch": "1327968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370476800000",
    "number": "1417229816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3390 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183740",
            "telephone_number": "540-772-1006",
            "fax_number": "540-772-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3390 COLONIAL AVE",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240183740",
            "telephone_number": "540-772-1006",
            "fax_number": "540-772-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DENNIS",
        "middle_name": "GREGORY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-31",
        "last_updated": "2013-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "VA",
            "license": "0110003793",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "VA",
            "license": "0110003793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Dugom, MD
• Cornelius Joseph Duhon, RDN
• Stormie Gail Dula
• Raechel L Dunaway
• Randi Dunbar, LPTA
• Frances Elizabeth Duncan, BA, CSAC-R
• Audrey Maria Dunevant
• Jessica Dunham, RDN
• Alicia K Dunleavy, PA-C
• Robert Braden Dunmire III, MD

• Medical Physician Assistant in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Medical Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.