Active NPI
Michael P Durr, M.D.
- Surgery Physician
- Waterville, ME
National Provider Identifier
1235286287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 16655
- Practice address
- 180 Kennedy Memorial Dr
Suite 304
Waterville, ME 04901-4540 - Phone
- (207) 861-7874
- Fax
- (207) 861-4646
- NPI assigned
- Jan 4, 2007
- 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 | 16655 | ME | Primary |
Addresses
Primary practice location
180 Kennedy Memorial Dr
Suite 304
Waterville, ME 04901-4540
Mailing address
222 Kennedy Memorial Dr
Waterville, ME 04901-4526
Phone (800) 395-0232
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061225 | Other | ME | ANTHEM BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16655 | ME | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Surgery | Past | Accepting new patients |
| Sebasticook Valley Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Critical Access Hospital
- Pittsfield, ME
- NPI 1457461477
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323302400000",
"number": "1235286287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 KENNEDY MEMORIAL DR",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014526",
"telephone_number": "800-395-0232",
"fax_number": "207-873-2385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 KENNEDY MEMORIAL DR",
"address_2": "SUITE 304",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014540",
"telephone_number": "207-861-7874",
"fax_number": "207-861-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURR",
"first_name": "MICHAEL",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2011-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "ME",
"license": "16655",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC",
"identifier": "061225",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.