Active NPI
John G Duckett, MD
- Pulmonary Disease Physician
- Norfolk, VA
National Provider Identifier
1861467185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101048056
- Practice address
- 850 Kempsville Rd
Norfolk, VA 23502 - Phone
- (757) 466-5977
- Fax
- (757) 468-5834
- NPI assigned
- Feb 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101048056 | VA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 0101048056 | VA |
Addresses
Primary practice location
850 Kempsville Rd
Norfolk, VA 23502
Mailing address
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 466-5977
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006027008 | Medicaid | VA |
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
Interoperability endpoints
- jduckett15033@direct.sentara.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1861467185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 KEMPSVILLE RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23502",
"telephone_number": "757-466-5977",
"fax_number": "757-468-5834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "850 KEMPSVILLE RD",
"city": "NORFOLK",
"state": "VA",
"postal_code": "23502",
"telephone_number": "757-466-5977",
"fax_number": "757-468-5834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUCKETT",
"first_name": "JOHN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-21",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101048056",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "VA",
"license": "0101048056",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006027008",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.