KENNETH A DECOURSEY, MD PC – NPI #1144278607
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

KENNETH A DECOURSEY, MD PC is a provider located in CAPE GIRARDEAU, MO. NPPES has assigned the NPI number 1144278607 to KENNETH A DECOURSEY, MD PC on May 05, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KENNETH A DECOURSEY, MD PC below.

NPI Profile for
KENNETH A DECOURSEY, MD PC

NPI Number
1144278607
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KENNETH A DECOURSEY, MD PC
Primary location
1723 BROADWAY ST
SUITE 120
CAPE GIRARDEAU, MO 63701-4505
Phone: (573) 334-7194 Fax: (573) 334-4937
Mailing address
5311 LEXINGTON ST
JACKSON, MO 63755-3825
Phone: Fax:
Organization Subpart
No
Authorized Official
KENNETH DECOURSEY
PRESIDENT
Phone: (573) 334-7194
Updated
Identifiers

Identifiers for KENNETH A DECOURSEY, MD PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE CROSS/BLUE SHIELDMO131268
OTHERBLUE CROSS/BLUE SHIELDMO180360
OTHERHEALTHLINK649138
OTHERUNITED HEALTHCARE0106771
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.