S & J Direct Primary Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

S & J DIRECT PRIMARY CARE, PLLC

Practice address

5120 Conchos TRL
Arlington, TX 76017-3024

Phone

(817) 966-8550

NPI assigned

Sep 1, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Shelley Erin Durham, DONPI 1184820953

Title

President

Phone

(817) 966-8550

Specialties & licenses 1

Addresses

Other names 1

• Durham Direct Primary Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shelley Erin Durham, D.O.

  • Family Medicine Physician
  • Arlington, TX
  • NPI 1184820953
  NPD Authorized official

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641427200000",
    "number": "1194493536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 836",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760630836",
            "telephone_number": "817-966-8550",
            "fax_number": "817-612-3261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 CONCHOS TRL",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760173024",
            "telephone_number": "817-966-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S & J DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-01",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-966-8550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Durham Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Durham Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ruth Oday
• Charne Iman Rutherford, PHARMD
• Mark Rutowski
• Ryan Adam Pharma LLC
• Melissa Benton Rybak, FNP-C
• S-H Opco Pecan Park, LLC
• S&S Life Scan Corp
• Marina Christine Saad, MD
• Salwa Saad IV
• Yasasvi Sabbineni, DO

• Primary Care Clinic/Center in Arlington, TX
• Providers in Arlington, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.