Gregory A Doak, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

R5C46 Issued in MO

Practice address

3700 W 10TH St
Suite 301
Sedalia, MO 65301-2540

Phone

(660) 827-2730

Fax

(660) 827-2731

NPI assigned

Sep 23, 2005

Last updated

Dec 23, 2014By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Sedalia Internal Medicine Specialists

  • Internal Medicine Physician
  • Sedalia, MO
  • NPI 1427044106
  NPD (past)

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419292800000",
    "number": "1588650741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST",
            "address_2": "PO BOX 1706",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015972",
            "telephone_number": "660-827-9407",
            "fax_number": "660-827-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 W 10TH ST",
            "address_2": "SUITE 301",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012540",
            "telephone_number": "660-827-2730",
            "fax_number": "660-827-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAK",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2014-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R5C46",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588650741",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah A Davis, MA, LPC
• Laceylynn E Daye, MA, PLPC
• Amber Dean, FNP-C
• William E Decker, MD
• Dialysis Clinic Inc.
• Karen E. Doerry, M.D.
• Donald E. Hicks,D.D.S.,P.C.
• Dr Barbara Knight OD PC
• Dr Gary C Kitto and Associates LLC
• Dr. Gary C. Kitto and Associates

• Internal Medicine Physician in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.