Active NPI
Jonathan Cressey Durning, MD
- Surgery Physician
- Salem, OR
National Provider Identifier
1144278615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD19907
- Practice address
- 2020 Capitol St NE
Salem, OR 97301-0644 - Phone
- (503) 399-2424
- Fax
- (503) 375-7429
- NPI assigned
- May 5, 2006
- Last updated
- Feb 27, 2017
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD19907 | OR | Primary |
Addresses
Primary practice location
2020 Capitol St NE
Salem, OR 97301-0644
Mailing address
PO Box 8100
Salem, OR 97303-0900
Phone (503) 399-2424
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01778305 | Other | OR | RR MEDICARE |
| 081179 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101026000391 | OR | Practitioner - General Surgery | 5890885107 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD19907 | OR | MD | Surgery Physician |
| 0000 | OR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488153600000",
"number": "1144278615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8100",
"city": "SALEM",
"state": "OR",
"postal_code": "973030900",
"telephone_number": "503-399-2424",
"fax_number": "503-375-7429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 CAPITOL ST NE",
"city": "SALEM",
"state": "OR",
"postal_code": "973010644",
"telephone_number": "503-399-2424",
"fax_number": "503-375-7429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURNING",
"first_name": "JONATHAN",
"middle_name": "CRESSEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2017-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OR",
"license": "MD19907",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01778305",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "081179",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.