Dallas Family Practice, L.L.C.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DALLAS FAMILY PRACTICE, L.L.C.

Practice address

16 Church St
Dallas, PA 18612-1136

Phone

(570) 675-2111

Fax

(570) 675-6545

NPI assigned

Mar 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jane E Durkin, D.O.

Title

President

Phone

(570) 675-2111

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201219200000",
    "number": "1124087184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHURCH ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121136",
            "telephone_number": "570-675-2111",
            "fax_number": "570-675-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 CHURCH ST",
            "city": "DALLAS",
            "state": "PA",
            "postal_code": "186121136",
            "telephone_number": "570-675-2111",
            "fax_number": "570-675-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS FAMILY PRACTICE, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-01-25",
        "status": "A",
        "authorized_official_last_name": "DURKIN",
        "authorized_official_first_name": "JANE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "570-675-2111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001823531-0002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "E160",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS",
            "identifier": "78201",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stella Marie Cruz Cruz, M.D.
• Joanna Marie Cunningham, M.S. BCBA
• Megan Curry, DPT
• Aaron Cusma
• Louis J Czaja, PHARMD
• Dallas School District
• Anjli Dalsania
• Matthew Debiase, M.S., N.C.C.,L.P.C.
• Julia Demarco
• Laura Elaine Desoo, M.S., CCC-SLP

• Family Medicine Physician in Dallas, PA
• Providers in Dallas, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.