Dana Madsen Calcutt, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R6N76 Issued in MO

Practice address

1014 Madison St
OB/GYN Associates
Jefferson City, MO 65101-3458

Phone

(573) 632-5510

Fax

(573) 632-5810

NPI assigned

Apr 19, 2006

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 9

Other names 1

• Dana Easterberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245196800000",
    "number": "1790740942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 MADISON ST",
            "address_2": "OB/GYN ASSOCIATES",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013458",
            "telephone_number": "573-632-5510",
            "fax_number": "573-632-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 MADISON ST",
            "address_2": "OB/GYN ASSOCIATES",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013458",
            "telephone_number": "573-632-5510",
            "fax_number": "573-632-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN CALCUTT",
        "first_name": "DANA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2009-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "R6N76",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "1124972",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "C15354",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1124972",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2576582",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "F69930",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "160042445",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3854",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "247819824",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "278924",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "EASTERBERG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John C Lyskowski, M.D.
• Teresa (Terry) Rose Lyskowski, P.T.
• Leota R Maag, RN, CDE
• Matthew Bryant Maasen, DPT
• Joann Mace, MD
• Melissa Jane Maerz-Malone, NP
• Rebecca E Mahon, RN
• Sara Mallinckrodt, RD
• Tana Malotte
• Mark A Manary, O.D.

• Obstetrics & Gynecology Physician in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Obstetrics & Gynecology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.