Active NPI
Gilbert Shawn Duxbury, M.D.
- Pediatric Orthopaedic Surgery Physician
- Springfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Orthopaedic Surgery Physician
- License
- 036.170222
- Practice address
- 400 N 9TH St FL 2
Springfield, IL 62702-5310 - Phone
- (217) 545-8000
- Fax
- (217) 545-6041
- NPI assigned
- Sep 8, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 62969 | GA | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | MD2019-0704 | NM | |
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 036.170222 | IL | Primary |
Addresses
Primary practice location
400 N 9TH St FL 2
Springfield, IL 62702-5310
Mailing address
201 E Madison St Ste 328
Springfield, IL 62702-5131
Phone (217) 545-8000
Other practice location 1
6 Executive Park Dr NE
Suite # 10
Atlanta, GA 30329-2221
Phone (404) 321-9900
Other practice location 2
6 Executive Park Dr NE
Suite # 10
Atlanta, GA 30329-2221
Phone (404) 321-9900
Other practice location 3
1 Unm Msc10 5600 Department Of Orthopaedics
Albuquerque, NM 87131
Phone (505) 272-4107
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, NM, MO, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.170222 | IL | MD | Pediatric Orthopaedic Surgery Physician |
| MD2019-0704 | NM | MD | Pediatric Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Health Center of Stoddard County LLC | Current | Accepting new patients | |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| Southeast Missouri Hospital Physicians, LLC | Current | Accepting new patients | |
| Southeast Health Center of Stoddard County, LLC | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Southeast Health Center of Stoddard County, LLC | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Siu Physicians & Surgeons, Inc | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
201 E Madison St
Ste 328
Springfield, IL 62702
400 N 9th St
Springfield, IL 62702
Phone (217) 545-6498
400 N 9th St
Fl 2
Springfield, IL 62702
751 N Rutledge St
Springfield, IL 62702
Phone (217) 545-0182
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
1723 Broadway St
Ste 315
Cpe Girardeau, MO 63701
Phone (573) 332-0226
1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900
933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
2450 Holcombe Blvd
Ste NB34L
Houston, TX 77021
Phone (713) 796-0003
Interoperability endpoints
- gilbertduxbury@siusm.allscriptsdirect.net
- shawn.duxbury.p48@direct.tenet.nextgenshare.com
- gduxbury@poa1811.srs-direct.com
Organizations & group practices 11
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Springfield, IL
- NPI 1558385989
-
- Rural Health Clinic/Center
- Dexter, MO
- NPI 1790828812
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Rural Health Clinic/Center
- Carbondale, IL
- NPI 1215978127
-
- Durable Medical Equipment & Medical Supplies
- Springfield, IL
- NPI 1164055976
-
- Family Medicine Physician
- Dexter, MO
- NPI 1477997567
-
- Rural Health Clinic/Center
- Dexter, MO
- NPI 1457660045
-
- Community/Retail Pharmacy
- Albuquerque, NM
- NPI 1417330044
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724112000000",
"number": "1508014044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E MADISON ST STE 328",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025131",
"telephone_number": "217-545-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N 9TH ST FL 2",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627025310",
"telephone_number": "217-545-8000",
"fax_number": "217-545-6041"
}
],
"practiceLocations": [
{
"address_1": "6 Executive Park Dr NE",
"address_2": "Suite # 10",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303292221",
"country_code": "US",
"telephone_number": "404-321-9900",
"fax_number": "678-868-2038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6 Executive Park Dr NE",
"address_2": "Suite # 10",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303292221",
"country_code": "US",
"telephone_number": "404-321-9900",
"fax_number": "678-868-2038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Unm Msc10 5600 Department Of Orthopaedics",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "87131",
"country_code": "US",
"telephone_number": "505-272-4107",
"fax_number": "505-272-8098",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUXBURY",
"first_name": "GILBERT",
"middle_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-08",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "GA",
"license": "62969",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NM",
"license": "MD2019-0704",
"primary": false
},
{
"code": "207XP3100X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "IL",
"license": "036.170222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.