Individual provider Active NPI

Joanne Duckro, DPM

  • Podiatrist
  • Dayton, OH
National Provider Identifier
1932102811
Registry record updated Mar 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36002984 Issued in OH
Practice address
479 E Rahn Rd
Dayton, OH 45429-5948
Phone
(937) 436-3444
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36002984 OH Primary

Addresses

Primary practice location

479 E Rahn Rd
Dayton, OH 45429-5948

Mailing address

479 E Rahn Rd
Dayton, OH 45429-5948
Phone (937) 436-3444

Other identifiers 2

IdentifierTypeStateIssuer
2012664MedicaidOH
480025938OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070117000009 OH Practitioner - Podiatry 1153322201 Practice locations: Dayton, OH

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

479 E Rahn Rd
Dayton, OH 45429-5948
Phone (937) 436-3444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3711
Removal or shaving of skin growth75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36002984OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Surgical Wound Care, Inc. Past Accepting new patients
Kevin F Sunshein DPM Inc Podiatrist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458518400000",
    "number": "1932102811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "479 E RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295948",
            "telephone_number": "937-436-3444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "479 E RAHN RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454295948",
            "telephone_number": "937-436-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKRO",
        "first_name": "JOANNE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2016-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2012664",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480025938",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.