Active NPI
Samantha K Durland, M.D.
- Obstetrics & Gynecology Physician
- Lawrence, KS
National Provider Identifier
1073549622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 04-30061
- Practice address
- 1112 W 6TH St
Suite 210B
Lawrence, KS 66044-2215 - Phone
- (785) 393-5171
- Fax
- (866) 623-6413
- NPI assigned
- Jun 24, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 04-30061 | KS | Primary |
Addresses
Primary practice location
1112 W 6TH St
Suite 210B
Lawrence, KS 66044-2215
Mailing address
1112 W 6TH St
Suite 210B
Lawrence, KS 66044-2215
Phone (785) 393-5171
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100642110A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-30061 | KS | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samantha Durland | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Gynecology Physician
- Lawrence, KS
- NPI 1508392564
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452038400000",
"number": "1073549622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 W 6TH ST",
"address_2": "SUITE 210B",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442215",
"telephone_number": "785-393-5171",
"fax_number": "866-623-6413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1112 W 6TH ST",
"address_2": "SUITE 210B",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442215",
"telephone_number": "785-393-5171",
"fax_number": "866-623-6413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURLAND",
"first_name": "SAMANTHA",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-24",
"last_updated": "2016-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "04-30061",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100642110A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.