Active NPI
Johnny D Duncan, DO
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- Lawton, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 3110
- Practice address
- 3201 W Gore Blvd Ste 201
Lawton, OK 73505-6350 - Phone
- (805) 250-6659
- Fax
- (580) 250-5249
- NPI assigned
- Sep 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 3110 | OK | |
| Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician | 2081N0008X | 3110 | OK | Primary |
Addresses
Primary practice location
3201 W Gore Blvd Ste 201
Lawton, OK 73505-6350
Mailing address
PO Box 785
Lawton, OK 73502
Phone (580) 357-9984
Other practice location 1
3201 W Gore Blvd Ste 104
Lawton, OK 73505-6350
Phone (805) 250-6659
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 175194701 | Other | OK | DOL |
| 5959599 | Other | OK | AETNA |
| 100765610B | Medicaid | OK | |
| 140007299 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Oklahoma State University College of Osteopathic Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3201 W Gore Blvd
Suite 201
Lawton, OK 73505-6350
Phone (580) 357-2261
Hospital & facility affiliations
- Memorial Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3110 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Comanche County Healthcare Corp | Current | Accepting new patients | |
| Comanche County Healthcare Corporation | Current | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Comanche County Healthcare Corporation | Neurological Surgery | Past | Accepting new patients |
| Comanche County Healthcare | Past | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients |
Locations
3201 W Gore Blvd
Ste 300
Lawton, OK 73505
Phone (580) 248-5255
3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207
3201 W Gore Blvd
Ste 201
Lawton, OK 73505
Phone (580) 357-2261
3201 W Gore Blvd
Ste 104
Lawton, OK 73505
Phone (580) 250-6659
Interoperability endpoints
- johnny.duncan@mmg.eclinicaldirectplus.com
Organizations & group practices 7
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.
-
- Public Health or Welfare Agency
- Lawton, OK
- NPI 1053352690
-
- Family Medicine Physician
- Carnegie, OK
- NPI 1346269925
-
- Allergy & Immunology Physician
- Lawton, OK
- NPI 1013640846
-
- Surgery Physician
- Lawton, OK
- NPI 1285651232
-
- Neurological Surgery Physician
- Lawton, OK
- NPI 1770500753
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
-
- General Acute Care Hospital
- Edmond, OK
- NPI 1356574560
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawton, OK
- NPI 1720022379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1790771095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 785",
"city": "LAWTON",
"state": "OK",
"postal_code": "73502",
"telephone_number": "580-357-9984",
"fax_number": "580-357-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 W GORE BLVD STE 201",
"city": "LAWTON",
"state": "OK",
"postal_code": "735056350",
"telephone_number": "805-250-6659",
"fax_number": "580-250-5249"
}
],
"practiceLocations": [
{
"address_1": "3201 W Gore Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Lawton",
"state": "OK",
"postal_code": "735056350",
"country_code": "US",
"telephone_number": "805-250-6659",
"fax_number": "580-250-5249",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNCAN",
"first_name": "JOHNNY",
"middle_name": "D",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2023-08-21",
"certification_date": "2023-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "OK",
"license": "3110",
"primary": false
},
{
"code": "2081N0008X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Neuromuscular Medicine",
"state": "OK",
"license": "3110",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "175194701",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5959599",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100765610B",
"state": "OK"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "140007299",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.