Individual provider Active NPI

Howard Duryea, PA

  • Physician Assistant
  • Berwick, PA
National Provider Identifier
1073527602
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009213 Issued in NY
Practice address
65 Briar Creek PLZ
Berwick, PA 18603-4100
Phone
(570) 802-5590
Fax
(570) 802-5591
NPI assigned
Jul 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009213 NY Primary
Physician Assistant 363A00000X MA051201 PA

Addresses

Primary practice location

65 Briar Creek PLZ
Berwick, PA 18603-4100

Mailing address

100 N Academy Ave
Danville, PA 17822-4903
Phone (570) 271-6144

Other practice location 1

4 Fuller St
Alexandria Bay, NY 13607-1316
Phone (315) 482-2511

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hduryea85842@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040401000106 NY Practitioner - Physician Assistant 0648262493 Reassigns benefits to 4 organizations
I20081001000592 PA Practitioner - Physician Assistant 0648262493 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009213NYMDPhysician Assistant
MA051201PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital Inc CurrentSince Sep 9, 2020 Accepting new patients
Atlantic Physician Services of Maryland, PC Physician Assistant CurrentSince Nov 1, 2018 Accepting new patients
Emergency Care Services of Pennsylvania, P.C. Physician Assistant CurrentSince Nov 1, 2017 Accepting new patients
Geisinger Clinic CurrentSince Aug 31, 2015 Accepting new patients
Geisinger Clinic CurrentSince Aug 31, 2015 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Sep 9, 2020 Accepting new patients
Regents of the University of California - Ucsd Medical Group Past Accepting new patients
Chenango Memorial Hospital, Inc. Physician Assistant Past Accepting new patients
Humboldt Emergency Physicians LLC Physician Assistant Past Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

396 Broadway
Kingston, NY 12401
Phone (845) 331-3131

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

2200 W Front St
Berwick, PA 18603
Phone (570) 759-1228

65 Briar Creek Plz
Berwick, PA 18603
Phone (570) 802-5590

100 N Academy Ave
Danville, PA 17822

300 Highland Ave
Hanover, PA 17331
Phone (717) 316-3711

211 N 12th St
Lehighton, PA 18235
Phone (610) 377-1300

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

700 E Norwegian St
Pottsville, PA 17901
Phone (570) 621-4000

2500 Bernville Rd
Reading, PA 19605
Phone (610) 378-2300

1020 Northern Blvd
South Abington Township, PA 18411
Phone (570) 587-2290

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073527602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178224903",
            "telephone_number": "570-271-6144",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BRIAR CREEK PLZ",
            "city": "BERWICK",
            "state": "PA",
            "postal_code": "186034100",
            "telephone_number": "570-802-5590",
            "fax_number": "570-802-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Fuller St",
            "address_purpose": "LOCATION",
            "city": "Alexandria Bay",
            "state": "NY",
            "postal_code": "136071316",
            "country_code": "US",
            "telephone_number": "315-482-2511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURYEA",
        "first_name": "HOWARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009213",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hduryea85842@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "65 Briar Creek Plz",
            "city": "Berwick",
            "state": "PA",
            "country_code": "US",
            "postal_code": "186034100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Berwick, PA

Sources for this page

Verify at the official NPI Registry.