Individual provider Active NPI

Craig Dues, D.O.

  • Emergency Medicine Physician
  • Dayton, OH
National Provider Identifier
1508879776
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34007616 Issued in OH
Practice address
405 W Grand Ave
Dayton, OH 45405-4720
Phone
(800) 514-1494
NPI assigned
Aug 15, 2006
Last updated
Jul 3, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34007616 OH Primary

Addresses

Primary practice location

405 W Grand Ave
Dayton, OH 45405-4720

Mailing address

6400 Atlantic Blvd
Jacksonville, FL 32211-8768
Phone (866) 638-5931

Other identifiers 2

IdentifierTypeStateIssuer
2338769MedicaidOH
000000538851OtherOHBCBS FOR UPPERVALLEY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20040130000872 OH Practitioner - Emergency Medicine 4688577133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Ohio University, College of Osteopathic Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

800 W Main St
Coldwater, OH 45828-1613
Phone (419) 678-2341

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34007616OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Pathology, LLC Current Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Jul 1, 2002 Accepting new patients
Mercer County Joint Township Community Hospital CurrentSince Jul 1, 2002 Accepting new patients
Bobcat Emergency Physicians LLC Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
West Central Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

950 S Main St
Celina, OH 45822
Phone (419) 586-1611

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215043200000",
    "number": "1508879776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 ATLANTIC BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322118768",
            "telephone_number": "866-638-5931",
            "fax_number": "904-805-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 W GRAND AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054720",
            "telephone_number": "800-514-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUES",
        "first_name": "CRAIG",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2008-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34007616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2338769",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FOR UPPERVALLEY",
            "identifier": "000000538851",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.