Samuel C Dunlany, MD

Key facts

NPI

1699728535

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

17464 (KY)

Practice address

1400 Robin Rd
Owensboro, KY 42301-2845

Phone

(270) 929-5716

Fax

(270) 685-6097

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 24, 2013.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1699728535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 78",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477010078",
            "telephone_number": "800-467-2392",
            "fax_number": "812-471-6650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 ROBIN RD",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423012845",
            "telephone_number": "270-929-5716",
            "fax_number": "270-685-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNLANY",
        "first_name": "SAMUEL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "17464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64174642",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Owensboro, KY

• Candace Brooke Dulabh, PA-C
• Lisa Elaine Duncan
• Stephanie Duncan
• Dungarvin Kentucky, LLC - Owensboro
• George Tripp Dunham, M.D.
• Jacie Dunn, M.S.S.L.P.-C.C.C.
• Victor Allen Dunn, PA
• Anthony W Durall, D.M.D.
• Lee Ann Durbin
• Collin Trevor Durham, MD

All providers in Owensboro, KY · Internal Medicine Physician in Kentucky