Duncan O Abongo, OT

Primary specialty

SpecialistTaxonomy code 174400000X

License

003391 Issued in MO

Practice address

209 Percy LN
Brookfield, MO 64628-1951

Phone

(166) 073-4063

NPI assigned

Aug 24, 2009

Last updated

Aug 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• NHC Healthcare-Macon LLC

  dba Macon Health Care Center

  • Skilled Nursing Facility
  • Macon, MO
  • NPI 1215238589
  NPD (past)

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

{
    "created_epoch": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251072000000",
    "number": "1740413822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PERCY LN",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646281951",
            "telephone_number": "166-073-4063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PERCY LN",
            "city": "BROOKFIELD",
            "state": "MO",
            "postal_code": "646281951",
            "telephone_number": "166-073-4063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABONGO",
        "first_name": "DUNCAN",
        "middle_name": "O",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2009-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "003391",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Medical House Call and Telemedicine, L.L.C. (Advanced Medical Express Clinic)
• Russell Todd Allen, DO
• Anew Healthcare Operations - Brookfield, LLC
• Robyn Raquel Armstrong, MSW, LCSW
• Shirley Louise Arnold, DNP FNP-C

• Specialist in Brookfield, MO
• Providers in Brookfield, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; 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.