Organization Active NPI

Patricia J. Dury MD, PA

  • Gynecology Physician
  • Cape Coral, FL
National Provider Identifier
1134524366
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME 70701 Issued in FL
Legal business name
PATRICIA J. DURY MD, PA
Practice address
1425 Viscaya Pkwy
Suite # 202
Cape Coral, FL 33990-3294
Phone
(239) 945-5015
Fax
(239) 945-5017
NPI assigned
Oct 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Patricia Jean Dury, M.D.
Title
President/Owner
Phone
(239) 826-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X ME 70701 FL Primary

Addresses

Primary practice location

1425 Viscaya Pkwy
Suite # 202
Cape Coral, FL 33990-3294

Mailing address

PO Box 150207
Suite # 202
Cape Coral, FL 33915-0207
Phone (239) 945-5015

Other identifiers 1

IdentifierTypeStateIssuer
379778300MedicaidFL

National Provider Directory

National Provider Directory

Locations

1425 Viscaya Pkwy
Ste 202
Cape Coral, FL 33990
Phone (239) 437-8000

NPI Registry JSON

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1134524366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150207",
            "address_2": "SUITE # 202",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339150207",
            "telephone_number": "239-945-5015",
            "fax_number": "239-945-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 VISCAYA PKWY",
            "address_2": "SUITE # 202",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339903294",
            "telephone_number": "239-945-5015",
            "fax_number": "239-945-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA J. DURY MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "DURY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "239-826-8771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME 70701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379778300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.