Active NPI
David D Duke, M.D.
- Obstetrics & Gynecology Physician
- Johnson, AR
National Provider Identifier
1437124757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- C7686
- Practice address
- 4301 Greathouse Springs Rd
Suite 100
Johnson, AR 72741-0523 - Phone
- (479) 521-4433
- Fax
- (479) 521-0444
- NPI assigned
- Feb 21, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | C7686 | AR | Primary |
Addresses
Primary practice location
4301 Greathouse Springs Rd
Suite 100
Johnson, AR 72741-0523
Mailing address
PO Box 523
Johnson, AR 72741-0523
Phone (479) 521-4433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C7686 | Other | AR | STATE LICENSE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PLW Anesthesia LLC | Past | Accepting new patients |
Interoperability endpoints
- dduke@phc.gwaydirect.com
Organizations & group practices 1
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.
-
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
- NPI 1700040680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1437124757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 523",
"city": "JOHNSON",
"state": "AR",
"postal_code": "727410523",
"telephone_number": "479-521-4433",
"fax_number": "479-521-0444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GREATHOUSE SPRINGS RD",
"address_2": "SUITE 100",
"city": "JOHNSON",
"state": "AR",
"postal_code": "727410523",
"telephone_number": "479-521-4433",
"fax_number": "479-521-0444"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUKE",
"first_name": "DAVID",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "AR",
"license": "C7686",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "C7686",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.