Dan Ray Duncan, PA-C – Surgical Physician Assistant

Key facts

NPI: 1639263239
Entity type: Individual (NPI type 1)
Primary specialty: Surgical Physician Assistant 363AS0400X
License: 224 (MT)
Practice address: Dept of Veterans Affairs
Fort Harrison Vamc
Fort Harrison, MT 59636
Phone: (406) 447-7691
NPI assigned: Oct 3, 2006
Sex: Male
Sole proprietor: No

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.

Frances Mahon Deaconess Hospital Critical Access Hospital · Glasgow, MT · NPI 1689685323

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MT
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20150416000405	MT	Order and Referring Only - Physician Assistant	2668790999

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

State licenses

License	State	Type	Specialty
224	MT	MD	Surgical Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Frances Mahon Deaconess Hospital		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Surgical Physician Assistant	363AS0400X	224	MT	Yes

Addresses

Primary practice location

Dept of Veterans Affairs
Fort Harrison Vamc
Fort Harrison, MT 59636

Mailing address

407 Russell LN
Helena, MT 59602
Phone (406) 443-8399

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639263239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 RUSSELL LN",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "59602",
            "telephone_number": "406-443-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT OF VETERANS AFFAIRS",
            "address_2": "FORT HARRISON VAMC",
            "city": "FORT HARRISON",
            "state": "MT",
            "postal_code": "59636",
            "telephone_number": "406-447-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "DAN",
        "middle_name": "RAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MT",
            "license": "224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Harrison, MT

All providers in Fort Harrison, MT · Surgical Physician Assistant in Montana

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.