John Durkin

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

CRNA246519 Issued in AZ

Practice address

2000 E Southern Ave Ste 105
Tempe, AZ 85282-7510

Phone

(480) 820-9141

NPI assigned

Aug 4, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Certified Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metro Anesthesia Consultants P C

  • Anesthesiology Physician
  • Phoenix, AZ
  • NPI 1003947391
  NPD (past)

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626912000000",
    "number": "1164032249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2469 N KIVA TRL",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847701290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E SOUTHERN AVE STE 105",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827510",
            "telephone_number": "480-820-9141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURKIN",
        "first_name": "JOHN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-04",
        "last_updated": "2021-07-22",
        "certification_date": "2021-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "AZ",
            "license": "CRNA246519",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "UT",
            "license": "126819",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Ann Dupps, OTR L
• Emilie Dupuis, MT-BC
• Durable Medical Equipment LLC
• Carol Ann Durham, RN, BSN
• Sri Mangala Gouri Duriseti
• Stephanie Elyse Durst-Rael, ARNP
• Bryce L. Dursteler, M.D.
• Jennifer Erin Dwyer
• Andrew Donald Dybala, PA-C
• Audrey Grace Dye

• Certified Registered Nurse Anesthetist in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Certified Registered Nurse Anesthetist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2021; 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.