Douglas Mark Duven, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

23463 Issued in IA

Practice address

1731 W Ridgeway Ave
Ste 100
Waterloo, IA 50701-4591

Phone

(319) 833-6100

Fax

(319) 833-6102

NPI assigned

May 18, 2006

Sex

Male

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191888000000",
    "number": "1861445223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-833-6100",
            "fax_number": "319-833-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 W RIDGEWAY AVE",
            "address_2": "STE 100",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014591",
            "telephone_number": "319-833-6100",
            "fax_number": "319-833-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVEN",
        "first_name": "DOUGLAS",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2007-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "23463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH CARE",
            "identifier": "42141730701",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1203869",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "19288",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Dunn, MSW, LISW
• Carmen J Dunphy, PHARMD
• Nicole Marie Dupree, ACNPC-AG
• Kathleen Marie Durham, DMD
• Rene Ann Dutkowski Ludens, D.D.S.
• Madeline Dyer, PHARMD
• Gorana Dzanic, ARNP
• Thomas Charles Eachus, LISW
• Christopher L Eagan, DO
• Sandra Eagle

• Surgery Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Surgery Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.