Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1205974094 Deactivated / Inactive NPI Male Practitioner

Dr. Douglas A Hacker , MD

Radiology - Diagnostic Radiology • Springfield, MO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Douglas Hacker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 02, 2007
NPI Deactivation Date December 18, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Douglas Hacker, MD was a registered Radiology - Diagnostic Radiology practicing in Springfield, MO. Throughout an active medical career spanning 13 years, Dr. Hacker provided care at the practice location at 1235 E CHEROKEE ST until profile deactivation on 2020-12-18.

Practice Location & Contact Primary Location

Practice Address

1235 E Cherokee St

Springfield, MO 658042203

Telephone 4178209729
Fax 4178206471
Associated Practice Facility / Clinic
🏢 Mercy Clinic Hospitalists Facility NPI 1033181474

Specialty Benchmarks & Practice Insights

Comparative analytics for Radiology - Diagnostic Radiology in Springfield, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.6 Yrs
State Avg: 28.4 Yrs
Regional Practice Density
56 Specialists

Practicing in Springfield, MO (1019 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Radiology - Diagnostic Radiology Primary Specialty

NUCC Taxonomy Code: 2085R0202X

State License MO R1B95

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

21 Associated Practitioners
Dr. Jordan Page , DO

Radiology - Diagnostic Radiology

NPI 1053459800

Doctor of Osteopathic Medicine (D.O.)

Dr. Jinna Chen , MD

Radiology - Diagnostic Radiology

NPI 1215075189

Doctor of Medicine (M.D.)

Paul Mueller , PA

Physician Assistant

NPI 1235277948

Physician Assistant

Dr. James Sauer , MD

Radiology - Diagnostic Radiology

NPI 1245378918

Doctor of Medicine (M.D.)

Dr. Gerald Ondr , MD

Radiology - Diagnostic Radiology

NPI 1285772046

Doctor of Medicine (M.D.)

Dr. Ryan Davies , DO

Radiology - Diagnostic Radiology

NPI 1295927473

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated December 18, 2020

Record deactivated on December 18, 2020

NPI Profile Active May 13, 2013

NPI status registered as active in NPPES database

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Updated Practice Location May 13, 2013

Registered at 1235 E CHEROKEE ST, SPRINGFIELD, MO 658042203 (Tel: 4178209729)

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Updated Business Mailing Address May 13, 2013

Registered at PO BOX 2580, SPRINGFIELD, MO 658012580 (Tel: 4178294620)

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Provider Name / Credentials Updated May 13, 2013

Recorded as DOUGLAS HACKER, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2013

Radiology (License #R1B95 in MO)

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Initial NPI Registration & Enumeration February 02, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205974094
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2007
Last Update: May 13, 2013
Deactivation Date: December 18, 2020

Mailing Address

Po Box 2580

Springfield, MO 658012580

Phone: 4178294620

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.