Daniel Macdougall

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

58318 Issued in CO

Practice address

310 County Road 14
Del Norte, CO 81132-8719

Phone

(719) 657-2510

Fax

(719) 657-4106

NPI assigned

Jun 5, 2014

Last updated

Jul 10, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK, TX, KS3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 3

Specialty

Emergency Medicine

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Green Country Emergency Physicians Group of Tulsa, PLLCGroup PAC ID 0345247052, 107 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Coffeyville Regional Medical Center, Inc Hospital, Coffeyville, KS, CCN 171387
• Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057
• Creek Nation Community Hospital Hospital, Okemah, OK, CCN 371333

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmacdougall23409@muscogeecreeknation.direct-ci.com

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.

• Green Country Emergency Physicians Group of Tulsa PLLC

  • Emergency Medicine Physician
  • Tulsa, OK
  • NPI 1972698553

  KS, Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Health System

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923

  Multi-Specialty

  Medicare reassignment NPD
• Creek Nation Hospital & Clinics

  dba Creek Nation Community Hospital

  • Family Medicine Physician
  • Okemah, OK
  • NPI 1467053173

  Multi-Specialty, TX

  Medicare reassignment NPD
• Valley Citizens' Foundation for Health Care Inc

  dba Rio Grande Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Del Norte, CO
  • NPI 1720181225
  NPD
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Orthopedic Clinic - NI

  • Clinic/Center
  • Okmulgee, OK
  • NPI 1326446188
  NPD
• Creek Nation Hospital & Clinics

  dba Muscogee Healing and Recovery Center

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD
• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  NPD (past)
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Medical Center -NI

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1407243777
  NPD (past)
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Medical Center - Native

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1861889123
  NPD (past)
• Creek Nation Hospital and Clinics Board

  • General Acute Care Hospital
  • Okemah, OK
  • NPI 1689727588
  NPD (past)

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

• Coffeyville Regional Medical Center, Inc.

  • Critical Access Hospital
  • Coffeyville, KS
  • NPI 1285600379
  Care Compare affiliation
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Long Term Acute Care Hospital

  • Long Term Care Hospital
  • Okmulgee, OK
  • NPI 1376979955
  Care Compare affiliation
• Creek Nation Hospital & Clinics

  dba Muscogee (Creek) Nation Medical Center

  • General Acute Care Hospital
  • Okmulgee, OK
  • NPI 1902236573
  Care Compare affiliation

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

{
    "created_epoch": "1401926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499644800000",
    "number": "1902219017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2510",
            "fax_number": "719-657-4106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COUNTY ROAD 14",
            "city": "DEL NORTE",
            "state": "CO",
            "postal_code": "811328719",
            "telephone_number": "719-657-2510",
            "fax_number": "719-657-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACDOUGALL",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-05",
        "last_updated": "2017-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10050784",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "58318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO LIC",
            "identifier": "58318",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Kelley
• Dianne Catherine Koshak, RN
• Kiley R Lohr
• Lutheran Hospital Association of the San Luis Valley (SLV Regional Medical Center)
• Lutheran Hospital Association of the San Luis Valley (SLV Regional Medical Center)
• Obstetrix Medical Group of Colorado, P.C. (Rocky Mountain Pediatric Cardiology)
• Debra S Parra, NURSE PRACTITIONER
• Jon Lee Peterson, MD
• Heather Madigan Pollock Green, CPM, RM
• Rick Rabon, MD

• Family Medicine Physician in Del Norte, CO
• Providers in Del Norte, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.