Peggy Culver Dubois, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

12925 Issued in OK

Practice address

1117 S Douglas Blvd
Ste D
Midwest City, OK 73130-5262

Phone

(405) 741-8686

Fax

(405) 733-9621

NPI assigned

Aug 24, 2005

Sex

Female

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

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: duboisp@yourcarecommunity.org

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.

• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1740273945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD",
            "address_2": "STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305262",
            "telephone_number": "405-741-8686",
            "fax_number": "405-733-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S DOUGLAS BLVD",
            "address_2": "STE D",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731305262",
            "telephone_number": "405-741-8686",
            "fax_number": "405-733-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "PEGGY",
        "middle_name": "CULVER",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "12925",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100128550A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Drug Store
• Calet Dubiel
• Dubois Medical Clinic PC
• Elizabeth Ann Dubois, M.A.
• Gary Dean Dubois, MD
• Tasha D Dubose
• Dugan Dental, Inc.
• Don Coley Dugan, D.D.S.
• Lisa Jenette Dunbar
• Aubrey Duncan, COTA

• Family Medicine Physician in Midwest City, OK
• Providers in Midwest City, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.

Verify at the official NPI Registry.