KENNETH A. DECOURSEY M.D. – NPI #1356473797
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.

Health Care Provider Taxonomy Code for Family Medicine

KENNETH DECOURSEY is a physician located in CAPE GIRARDEAU, MO. NPPES has assigned the NPI number 1356473797 to KENNETH DECOURSEY on March 12, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. 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 19 years ago on Jul 09, 2007. 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 DECOURSEY below.

NPI Profile for
KENNETH A. DECOURSEY

NPI Number
1356473797
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
KENNETH A. DECOURSEY
Credentials
M.D.
Primary location
1723 BROADWAY, SUITE 120
CAPE GIRARDEAU, MO 63701
Phone: (573) 334-7194 Fax: (573) 334-4937
Mailing address
5311 LEXINGTON ST
JACKSON, MO 63755-3825
Phone: Fax:
Sole Proprietor
No
Updated
Identifiers

Identifiers for KENNETH DECOURSEY

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.

See identifiers
DescriptionIssuerStateIdentifier
OTHERBLUE CROSS BLUE SHIELDMO180360
OTHERBLUE CROSS BLUE SHIELDMO131268
OTHERHEALTHLINK649138
OTHERRAILROAD MEDICARE IDDA3724
OTHERRAILROAD MEDICARE IDP00056880
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)		 MO 102354

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KENNETH DECOURSEY is affiliated with the following medical group(s):
  • HOSPITAL
    • SAINT FRANCIS MEDICAL CENTER
      211 ST FRANCIS DR
      CAPE GIRARDEAU, MO 63703
    • SOUTHEASTHEALTH
      1701 LACEY ST
      CAPE GIRARDEAU, MO 63701
  • HOME HEALTH AGENCY
    • KINDRED AT HOME
      1206 HOMELIFE PLAZA
      ROLLA, MO 65401
  • NURSING HOME
    • LUTHERAN HOME, THE
      2825 BLOOMFIELD ROAD
      CAPE GIRARDEAU, MO 63703
    • RATLIFF CARE CENTER
      717 NORTH SPRIGG
      CAPE GIRARDEAU, MO 63701
  • HOSPICE
    • SOUTHEAST HOSPICE
      #10 DOCTOR'S PARK
      CAPE GIRARDEAU, MO 63703

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