Kenneth R Durrwachter MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD045039L Issued in PA

Legal business name

KENNETH R DURRWACHTER MD PC

Practice address

1705 Warren Ave
Suite 208
Williamsport, PA 17701-2647

Phone

(570) 601-6230

Fax

(570) 601-6232

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth R Durrwachter, MD

Title

Owner

Phone

(570) 601-6230

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sheryl Baker

  • Physician Assistant
  • Williamsport, PA
  • NPI 1952370033
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1275586281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 WARREN AVE",
            "address_2": "SUITE 208",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 WARREN AVE",
            "address_2": "SUITE 208",
            "city": "WILLIAMSPORT",
            "state": "PA",
            "postal_code": "177012647",
            "telephone_number": "570-601-6230",
            "fax_number": "570-601-6232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R DURRWACHTER MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "DURRWACHTER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-601-6230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD045039L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1016212250001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "C253",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "1849658",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "222566",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Kellogg, D.C.
• Felicia Kelly, CRNP
• Margaret Kelly, PHYSICAL THERAPIST
• John Walter Kelsey, PH.D.
• Jessica Kathleen Kemock, CRNA
• Townsen G Kennington, DPM, AACFAS
• Hannah Kepler
• Allison Leah Keppler, LPC
• Marillyn Kern
• Jeanne M Kerschner, OTRL

• Family Medicine Physician in Williamsport, PA
• Providers in Williamsport, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.