Durant Hma Physician Management, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

DURANT HMA PHYSICIAN MANAGEMENT, LLC

Practice address

1400 Bryan Dr
Suite 301
Durant, OK 74701-2156

Phone

(580) 920-0105

Fax

(580) 920-0893

NPI assigned

Jan 16, 2007

Last updated

Nov 26, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

HEALTH MANAGEMENT ASSOCIATES, INCAs reported in NPPES

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

Authorized official

Name

Mr. Michael L Gingras

Title

Vice President

Phone

(239) 598-3131

Specialties & licenses 8

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sarah Marie Andrews, MD

  • Family Medicine Physician
  • Durant, OK
  • NPI 1578889465
  Medicare reassignment Care Compare group NPD
• Kasey Dawn Burkhalter, APRN-CNP

  • Family Nurse Practitioner
  • Durant, OK
  • NPI 1790410330
  Medicare reassignment Care Compare group NPD
• Lindsay J Davault, MD

  • Surgery Physician
  • Durant, OK
  • NPI 1750421251
  Medicare reassignment Care Compare group NPD
• Clayton Andrew Garrett, DO

  • Family Medicine Physician
  • Tishomingo, OK
  • NPI 1487918553
  Medicare reassignment Care Compare group NPD
• Kevin J Gordon, D.O.

  • Internal Medicine Physician
  • Durant, OK
  • NPI 1437151370
  Medicare reassignment Care Compare group NPD
• Kenny M. Grider, D.O.

  • Orthopaedic Surgery Physician
  • Durant, OK
  • NPI 1245216191
  Medicare reassignment Care Compare group NPD
• Hayden D. Henry, M.D.

  • Urology Physician
  • Ardmore, OK
  • NPI 1639133580
  Medicare reassignment Care Compare group NPD
• Autumn Lynn Hensley, M.D.

  • Obstetrics & Gynecology Physician
  • Durant, OK
  • NPI 1316109630
  Medicare reassignment Care Compare group NPD
• Haylie Ashtyn Mata

  • Family Nurse Practitioner
  • Boswell, OK
  • NPI 1992525976
  Medicare reassignment Care Compare group NPD
• Christopher D. Morgan, MD

  • Anesthesiology Physician
  • Durant, OK
  • NPI 1700061918
  Medicare reassignment Care Compare group NPD
• Srikanth Mudiganty, MD

  • Orthopaedic Surgery Physician
  • Durant, OK
  • NPI 1417731043
  Medicare reassignment Care Compare group NPD
• Barbara Lynn Smith, APRN-CNP

  • Nurse Practitioner
  • McAlester, OK
  • NPI 1952776569
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1043361116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5811 PELICAN BAY BLVD",
            "address_2": "SUITE 500",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341082704",
            "telephone_number": "239-598-3131",
            "fax_number": "239-598-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "SUITE 301",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012156",
            "telephone_number": "580-920-0105",
            "fax_number": "580-920-0893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURANT HMA PHYSICIAN MANAGEMENT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH MANAGEMENT ASSOCIATES, INC",
        "enumeration_date": "2007-01-16",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "GINGRAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "239-598-3131",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Durant Hma Inc. (Jaiswal Clinic)
• Durant Hma LLC (AllianceHealth Durant)
• Durant Hma Physician Management Inc (OB GYN Associates of Durant)
• Durant Hma Physician Management LLC
• Durant Hma Physician Management, LLC (OB/GYN Associates of Durant)
• Durant Hma Physician Management, LLC (OB/GYN Associates of Durant)
• Durant Hma Physician Management, LLC (Ear, Nose & Throat Clinic of Durant)
• Durant Hma Physician Management, LLC (Durant Surgery & Aesthetics)
• Durant Hma Physician Management, LLC (Durant Orthopedic Clinic)
• Durant Hma Physician Management, LLC (Durant Surgical Eye Center)

• Internal Medicine Physician in Durant, OK
• Providers in Durant, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.