Michael R Durham MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

14893 Issued in AZ

Legal business name

MICHAEL R DURHAM MD

Doing business as

Michael R Durham MD

Practice address

703 E Ash St
Globe, AZ 85501-1865

Phone

(928) 425-4467

Fax

(928) 425-6166

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Michael R Durham, M.D.

Title

Owner

Phone

(928) 425-4461

Specialties & licenses 1

Addresses

Other names 1

• Michael R Durham MD Doing business as

Locations

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1144245127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 E ASH ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011865",
            "telephone_number": "928-425-4467",
            "fax_number": "928-425-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 E ASH ST",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "855011865",
            "telephone_number": "928-425-4467",
            "fax_number": "928-425-6166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL R DURHAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-425-4461",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "AZ",
            "license": "14893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Michael R Durham MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jamshid Mirzaei, MD
• Jacqueline Virginia Mooney

• General Practice Physician in Globe, AZ
• Providers in Globe, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.