Active NPI
Michael B Duvall, M.D.
- Otolaryngology Physician
- Springfield, OH
National Provider Identifier
1851362289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 35-04-4706-D
- Practice address
- 435 South Burnett Road
Springfield, OH 45505-2717 - Phone
- (937) 325-8796
- Fax
- (937) 325-3640
- NPI assigned
- Feb 1, 2006
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 35-04-4706-D | OH | Primary |
Addresses
Primary practice location
435 South Burnett Road
Springfield, OH 45505-2717
Mailing address
435 South Burnett Road
Springfield, OH 45505-2717
Phone (937) 325-8796
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000009442 | Other | OH | ANTHEM PROVIDER NUMBER |
| 040002846 | Other | OH | RAILROAD MEDICARE PROVIDE |
| 4013736 | Other | OH | AETNA PROVIDER NUMBER |
| 0428406 | Medicaid | OH | |
| 1020021 | Other | OH | UNITED HEALTH CARE PROVID |
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
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203638400000",
"number": "1851362289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 SOUTH BURNETT ROAD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052717",
"telephone_number": "937-325-8796",
"fax_number": "937-325-3640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 SOUTH BURNETT ROAD",
"city": "SPRINGFIELD",
"state": "OH",
"postal_code": "455052717",
"telephone_number": "937-325-8796",
"fax_number": "937-325-3640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUVALL",
"first_name": "MICHAEL",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-01",
"last_updated": "2008-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "OH",
"license": "35-04-4706-D",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PROVIDER NUMBER",
"identifier": "000000009442",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PROVIDE",
"identifier": "040002846",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4013736",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0428406",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE PROVID",
"identifier": "1020021",
"state": "OH"
}
],
"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 Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.