NPIMap

Individual provider Active NPI

Michael D Dunaway, M.D.

  • Family Medicine Physician
  • Flemingsburg, KY
National Provider Identifier
1871565580
Registry record updated Nov 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29764 Issued in KY
Practice address
520 Elizaville Ave
Flemingsburg, KY 41041-1141
Phone
(606) 845-0028
Fax
(606) 845-0263
NPI assigned
Feb 6, 2006
Last updated
Nov 30, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29764 KY Primary

Addresses

Primary practice location

520 Elizaville Ave
Flemingsburg, KY 41041-1141

Mailing address

PO Box 550
Vanceburg, KY 41179-0550
Phone (606) 796-3029

Other identifiers 2

IdentifierTypeStateIssuer
0864613MedicaidOH
64297641MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040820001070 KY Practitioner - Family Practice 3678547197 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kentucky College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 W McDonald Pkwy
Maysville, KY 41056-1164
Phone (859) 509-5636

211 Ky
Suite 59
Vanceburg, KY 41179-7647
Phone (606) 796-3029

432 16TH St
Ashland, KY 41101-7693
Phone (859) 509-5636

520 Elizaville Ave
Flemingsburg, KY 41041-1141
Phone (606) 845-0028

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis County Primary Care Center, Inc. CurrentSince Sep 2, 2003 Accepting new patients
Lewis County Primary Care Center, Inc. CurrentSince Sep 2, 2003 Accepting new patients

Locations

432 16th St
Ashland, KY 41101
Phone (859) 509-5636

520 Elizaville Ave
Flemingsburg, KY 41041
Phone (606) 845-0028

211 Ky 59
Vanceburg, KY 41179
Phone (606) 793-3029

Interoperability endpoints

  • Direct secure messaging: michael.dunaway.1@13661.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322611200000",
    "number": "1871565580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550",
            "city": "VANCEBURG",
            "state": "KY",
            "postal_code": "411790550",
            "telephone_number": "606-796-3029",
            "fax_number": "606-796-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 ELIZAVILLE AVE",
            "city": "FLEMINGSBURG",
            "state": "KY",
            "postal_code": "410411141",
            "telephone_number": "606-845-0028",
            "fax_number": "606-845-0263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNAWAY",
        "first_name": "MICHAEL",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2011-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "29764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0864613",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64297641",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemingsburg, KY

Sources for this page

Verify at the official NPI Registry.