Adam Duran, MD
Individual provider Active NPI Family Medicine Physician · Carthage, TX
NPI 1265675706 · NPPES record last updated Sep 4, 2012
Key facts
- NPI
- 1265675706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- P4306 (TX)
- Practice address
- 702 Davis St
Carthage, TX 75633-1460 - Phone
- (903) 694-4824
- Fax
- (903) 694-4621
- NPI assigned
- Apr 14, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Etmc Physician Group, Inc.
Practice addresses (Care Compare)
305 Cottage Rd
Carthage, TX 75633-1511
Phone (903) 694-4948
Hospital & facility affiliations
- Accentcare Home Health of Texas
- Vitalcaring Group
- Good Shepherd Homecare - Marshall
- Ut Health East Texas Carthage Hospital
- Ut Health East Texas Henderson Hospital
- Ut Health East Texas Tyler Regional Hospital
- Christus Good Shepherd Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120919000274 | TX | Practitioner - Family Practice | 7517115439 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Etmc Physician Group Inc. | Current |
Accepting new patients | |
| Starks Medical | Past | Accepting new patients |
Locations
305 Cottage Rd
Carthage, TX 75633
Phone (903) 690-9100
704 Davis St
Carthage, TX 75633
Phone (903) 694-4824
702 Davis St
Carthage, TX 75633
Phone (903) 693-3841
409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841
18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292
2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105
901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418
1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068
Interoperability endpoints
- aduran355448@ahs.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | P4306 | TX | Yes |
Addresses
Primary practice location
702 Davis St
Carthage, TX 75633-1460
Mailing address
901 Turtle Creek Dr
Tyler, TX 75701-1947
Phone (903) 596-3651
Other providers in Carthage, TX
- Dennis D Golden OD PC Inc
- Jessica Rae Derrick
- Ben B Donald II
- Susan Giroux Donald
- Emily Dunn
- East Texas Medical Center Carthage
- East Texas Medical Center Carthage
- East Texas Medical Center Carthage
- East Texas Medical Center Carthage
- East Texas Medical Center Carthage
All providers in Carthage, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.