Active NPI
Donald Wayne Lamoureaux, D.O.
- Family Medicine Physician
- West Plains, MO
National Provider Identifier
1891772786
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.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2008014963
- 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, 2014
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| E2759 | Other | AR | ARKANSAS MEDICAL LICENSE NUMBER |
| 080187876 | Other | AR | RAILROAD MEDICARE |
| 143863003 | Medicaid | AR | |
| 5L806 | Other | AR | BCBS |
| 2008014963 | Other | MO | MISSOURI 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.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2759 | AR | MD | Family Medicine Physician |
| 2008014963 | MO | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Family Medicine
-
- Medicare Defined Swing Bed Hospital Unit
- Booneville, AR
- NPI 1598842643
-
- Critical Access Hospital
- Booneville, AR
- NPI 1073518593
-
- Urgent Care Clinic/Center
- Highland, AR
- NPI 1265638704
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.