Diana Dawn Dutra, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS016007 Issued in PA

Practice address

210 Medical Center Dr
Philipsburg, PA 16866-5500

Phone

(814) 342-5402

Fax

(814) 342-0598

NPI assigned

Feb 26, 2009

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

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 Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddutra85609@direct.geisinger.edu

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.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment NPD
• Indiana Healthcare Physician Services Inc

  dba IRMC Physician Group

  • Internal Medicine Physician
  • Indiana, PA
  • NPI 1578523429
  Medicare reassignment NPD
• Punxsutawney Area Hospital Inc

  • General Acute Care Hospital
  • Punxsutawney, PA
  • NPI 1265449870
  Medicare reassignment NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• Geisinger Clinic

  • Family Medicine Physician
  • Carbondale, PA
  • NPI 1700212917
  NPD
• Geisinger Clinic

  • Pediatrics Physician
  • Philipsburg, PA
  • NPI 1811948367
  NPD
• Indiana Healthcare Physician Services, Inc

  • Radiation Oncology Physician
  • Indiana, PA
  • NPI 1417409186
  NPD
• Punxsutawney Area Hospital Inc

  dba Punxsutawney Area Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Punxsutawney, PA
  • NPI 1528775269

  Pediatrics

  NPD

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1477793750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NORTH ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-214-5681",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MEDICAL CENTER DR",
            "city": "PHILIPSBURG",
            "state": "PA",
            "postal_code": "168665500",
            "telephone_number": "814-342-5402",
            "fax_number": "814-342-0598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "529 Sunflower Dr",
            "address_purpose": "LOCATION",
            "city": "Du Bois",
            "state": "PA",
            "postal_code": "158012378",
            "country_code": "US",
            "telephone_number": "814-371-1510",
            "fax_number": "814-371-2922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUTRA",
        "first_name": "DIANA",
        "middle_name": "DAWN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS016007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ddutra85609@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "210 Medical Center Dr",
            "city": "Philipsburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "168665500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dubois Regional Medical Center
• Dubois Regional Medical Center
• Dubois Regional Medical Group PC
• Beth Dunlap
• Brea Diane Dunn, LSW
• Roxann L Emigh, MS CCC/SLP
• Chelsey M Ernst, PA-C
• Expressions Counseling Services LTD.
• Jennifer Fenton
• Wanda Lisa Ferguson, COTA/L

• Pediatrics Physician in Philipsburg, PA
• Providers in Philipsburg, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.