NPIMap

Individual provider Active NPI

Adam Duran, MD

  • Family Medicine Physician
  • Carthage, TX
National Provider Identifier
1265675706
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
P4306 Issued in TX
Practice address
702 Davis St
Carthage, TX 75633-1460
Phone
(903) 694-4824
Fax
(903) 694-4621
NPI assigned
Apr 14, 2009
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X P4306 TX Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120919000274 TX Practitioner - Family Practice 7517115439 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

305 Cottage Rd
Carthage, TX 75633-1511
Phone (903) 694-4948

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Etmc Physician Group Inc. CurrentSince Mar 2, 2018 Accepting new patients
Etmc Physician Group Inc. CurrentSince Mar 2, 2018 Accepting new patients
Starks Medical Past Accepting new patients

Locations

305 Cottage Rd
Carthage, TX 75633
Phone (903) 690-9100

409 Cottage Rd
Carthage, TX 75633
Phone (903) 693-3841

702 Davis St
Carthage, TX 75633
Phone (903) 693-3841

704 Davis St
Carthage, TX 75633
Phone (903) 694-4824

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

2114 E Rusk St
Jacksonville, TX 75766
Phone (903) 284-6105

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

901 Turtle Creek Dr
Tyler, TX 75701
Phone (903) 594-2418

Interoperability endpoints

  • Direct secure messaging: aduran355448@ahs.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1265675706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 TURTLE CREEK DR",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011947",
            "telephone_number": "903-596-3651",
            "fax_number": "903-594-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 DAVIS ST",
            "city": "CARTHAGE",
            "state": "TX",
            "postal_code": "756331460",
            "telephone_number": "903-694-4824",
            "fax_number": "903-694-4621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "ADAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-14",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, TX

Sources for this page

Verify at the official NPI Registry.