DR. GEORGE DUNCAN (NPI# 1407871882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407871882 |
| Entity Type | Individual |
| Full Name | DR. GEORGE DUNCAN |
| Other Name | DR. GEORGE DUNCAN |
| Credential | M.D. |
| Practice Address |
1770 E Lake Shore Dr Suite 307 Decatur IL 62521-3832 |
| Practice Telephone | 2174281500 |
| Practice Fax Number | 2174281512 |
| Mailing Telephone | 2174281500 |
| Mailing Fax Number | 2174281512 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-04-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036088836 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036088836 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669415634 | George R Duncan | Social Worker | 91 N. Saginaw St., Suite G101, Pontiac, MI 48342 | 2006-06-14 |
| 1255512273 | George M. Duncan | Dentist | 11825 State Route 40, Suite 100, Dunlap, IL 61525-8842 | 2007-11-19 |
| 1427187178 | George Clovis Duncan | Pediatrics | 1 Oak Plz, Suite 206, Asheville, NC 28801-3008 | 2007-03-05 |
| 1629061148 | George W Duncan | Ophthalmology | 8625 Pleasant Plains Rd, Towson, MD 21286-2352 | 2005-08-30 |
| Street Address |
1770 E LAKE SHORE DR SUITE 307 |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292412 | David Anthony Jones | Family Medicine | 1770 E Lake Shore Dr, Suite 305, Decatur, IL 62521-3832 | 2005-08-19 |
| 1306314778 | Kristy Dawn Shafer | Nurse Practitioner | 1770 E Lake Shore Dr, Decatur, IL 62521-3832 | 2018-11-05 |
| 1902340730 | Annie Michele Smith | Social Worker | 1770 E Lake Shore Dr, #209, Decatur, IL 62521-3832 | 2016-12-13 |
| 1013319623 | Nicole Marie Lord | Nurse Practitioner | 1770 E Lake Shore Dr, #309, Decatur, IL 62521-3832 | 2014-09-25 |
| 1508110198 | Leslie Stanislaus Anewenah | Surgery | 1770 E Lake Shore Dr, Decatur, IL 62521-3832 | 2012-11-04 |
| 1063797108 | Laurel A Walton Do Sc | Obstetrics & Gynecology | 1770 E Lake Shore Dr, Ste 309, Decatur, IL 62521-3832 | 2011-10-20 |
| 1447532924 | Ahmad H Ahmad Md Sc | Internal Medicine | 1770 E Lake Shore Dr, Ste 201, Decatur, IL 62521-3832 | 2011-09-12 |
| 1912233602 | Linda Wilson Klemm | Nurse Practitioner | 1770 E Lake Shore Dr, Suite 105, Decatur, IL 62521-3832 | 2009-10-30 |
| 1265675490 | Jennifer Ross-barnett | Nurse Practitioner | 1770 E Lake Shore Dr, Suite 207, Decatur, IL 62521-3831 | 2009-04-17 |
| 1447403936 | Choudary V. Kavuri Md, Sc | Psychiatry & Neurology | 1770 E Lake Shore Dr, Suite 208, Decatur, IL 62521-3832 | 2008-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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| 1205481736 | Northside Nama Professional Services, LLC | Internal Medicine | 2545 Lawrenceville Hwy Ste 200, Decatur, GA 30033-3240 | 2019-08-01 |
| 1235632282 | Integrated Health and Wellness, LLC | Internal Medicine | 4150 Snapfinger Woods Dr Ste 200, Decatur, GA 30035-3417 | 2018-03-16 |
| 1619487428 | William Charles Levine | Internal Medicine | 2488 Pangborn Cir, Decatur, GA 30033-1341 | 2017-10-06 |
| 1730603267 | Snapcare Clinic | Internal Medicine | 5071 Snapfinger Woods Dr, Decatur, GA 30035-4019 | 2017-07-26 |
| 1629520515 | Daniel Feikin | Internal Medicine | 1726 Oakview Rd, Decatur, GA 30030-4235 | 2016-10-26 |
| 1699168237 | Valley Internal Medicine and Pediatrics | Internal Medicine | 2506 Danville Rd Sw # B, Decatur, AL 35603-4232 | 2015-03-06 |
| 1740691120 | Sandra J. Valenciano | Internal Medicine | 445 Winn Way Ste 527, Decatur, GA 30030-1707 | 2014-05-19 |
| 1376964593 | Naomi Bock | Internal Medicine | 335 W Ponce De Leon Ave Unit 501, Decatur, GA 30030-2456 | 2013-12-16 |
| 1548693641 | Timothy P. Weirich, M.d., P.C. | Internal Medicine | 3505 Pinehurst Dr Sw, Decatur, AL 35603-1259 | 2013-08-13 |
| 1154760577 | Michael William Smith | Internal Medicine | 2434 Vivian Cir, Decatur, GA 30030-1592 | 2013-06-19 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.