Organization Active NPI

Durham Family Medicine Inc

  • Family Medicine Physician
  • Miami, OK
National Provider Identifier
1265638100
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4291 Issued in OK
Legal business name
DURHAM FAMILY MEDICINE INC
Practice address
203 2ND Ave SW
Miami, OK 74354-6818
Phone
(918) 540-3500
Fax
(918) 540-3506
NPI assigned
Jun 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Micheal Jeffery Durham, D.O.
Title
Owner
Phone
(918) 540-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 4291 OK Primary

Addresses

Primary practice location

203 2ND Ave SW
Miami, OK 74354-6818

Mailing address

203 2ND Ave SW
Miami, OK 74354-6818
Phone (918) 540-3500

Other identifiers 1

IdentifierTypeStateIssuer
200075960AMedicaidOK

National Provider Directory

National Provider Directory

Locations

203 2nd Ave SW
Miami, OK 74354
Phone (918) 540-3500

NPI Registry JSON

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1265638100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546818",
            "telephone_number": "918-540-3500",
            "fax_number": "918-540-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 2ND AVE SW",
            "city": "MIAMI",
            "state": "OK",
            "postal_code": "743546818",
            "telephone_number": "918-540-3500",
            "fax_number": "918-540-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DURHAM FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "MICHEAL",
        "authorized_official_middle_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-540-3500",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "4291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200075960A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.