Active NPI
Matthew Kurtis Duer, AA-C
- Anesthesiologist Assistant
- Springfield, OH
National Provider Identifier
1750720447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiologist Assistant
- License
- 67000217
- Practice address
- 100 W Main St
Springfield, OH 45502-1312 - Phone
- (877) 708-9753
- Fax
- (937) 521-3910
- NPI assigned
- Jun 17, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiologist Assistant | 367H00000X | 67000217 | OH | Primary |
Addresses
Primary practice location
100 W Main St
Springfield, OH 45502-1312
Mailing address
7660 Woodville Pike
Saint Paris, OH 43072-9317
Phone (937) 362-2660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Associate of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67000217 | OH | MD | Anesthesiologist Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1750720447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7660 WOODVILLE PIKE",
"city": "SAINT PARIS",
"state": "OH",
"postal_code": "430729317",
"telephone_number": "937-362-2660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W MAIN ST",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455021312",
"telephone_number": "877-708-9753",
"fax_number": "937-521-3910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUER",
"first_name": "MATTHEW",
"middle_name": "KURTIS",
"credential": "AA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-17",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "367H00000X",
"taxonomy_group": "",
"desc": "Anesthesiologist Assistant",
"state": "OH",
"license": "67000217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.