Active NPI
Patricia J. Dury MD, PA
- Gynecology Physician
- Cape Coral, FL
National Provider Identifier
1134524366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- ME 70701
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379778300 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.