Individual provider Active NPI

Donald Wayne Lamoureaux, D.O.

  • Family Medicine Physician
  • West Plains, MO
National Provider Identifier
1891772786
Registry record updated Jul 21, 2014
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Jul 20, 2017.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2008014963 Issued in MO
Practice address
1801 E State Route K
West Plains, MO 65775-6616
Phone
(417) 257-2454
Fax
(417) 256-1119
NPI assigned
Dec 30, 2005
Last updated
Jul 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E2759 AR
Family Medicine Physician 207Q00000X 2008014963 MO Primary

Addresses

Primary practice location

1801 E State Route K
West Plains, MO 65775-6616

Mailing address

1801 E State Route K
West Plains, MO 65775-6616
Phone (417) 257-2454

Other identifiers 5

IdentifierTypeStateIssuer
E2759OtherARARKANSAS MEDICAL LICENSE NUMBER
080187876OtherARRAILROAD MEDICARE
143863003MedicaidAR
5L806OtherARBCBS
2008014963OtherMOMISSOURI STATE MEDICAL LICENSE

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E2759ARMDFamily Medicine Physician
2008014963MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Booneville Community Hospital, Inc. Past Accepting new patients
Hardy Medical Clinic Past Accepting new patients
Booneville Community Hospital, Inc Past Accepting new patients
Ozarks Medical Center Family Medicine Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1891772786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E STATE ROUTE K",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657756616",
            "telephone_number": "417-257-2454",
            "fax_number": "417-256-1119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E STATE ROUTE K",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657756616",
            "telephone_number": "417-257-2454",
            "fax_number": "417-256-1119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAMOUREAUX",
        "first_name": "DONALD",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E2759",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2008014963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS MEDICAL LICENSE NUMBER",
            "identifier": "E2759",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080187876",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143863003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5L806",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE MEDICAL LICENSE",
            "identifier": "2008014963",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Plains, MO

Sources for this page

Verify at the official NPI Registry.