Active NPI
Durham Family Medicine Inc
- Family Medicine Physician
- Miami, OK
National Provider Identifier
1265638100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4291
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200075960A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.