Active NPI
David J Durkin, M.D.
- Addiction Medicine (Anesthesiology) Physician
- Kalispell, MT
National Provider Identifier
1346273208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Anesthesiology) Physician
- License
- 77074
- Practice address
- 285 2ND Avenue West N Ste 101a
Kalispell, MT 59901-3910 - Phone
- (570) 246-3921
- NPI assigned
- Jul 7, 2006
- Last updated
- Jan 15, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD032407E | PA | |
| Addiction Medicine (Anesthesiology) Physician | 207LA0401X | 77074 | MT | Primary |
Addresses
Primary practice location
285 2ND Avenue West N Ste 101a
Kalispell, MT 59901-3910
Mailing address
180 Liberty St
Boalsburg, PA 16827-1031
Phone (570) 246-3921
Other practice location 1
1022 State Park Rd
Whitefish, MT 59937-3136
Phone (570) 246-3921
Other practice location 2
180 Liberty St
Boalsburg, PA 16827-1031
Phone (814) 441-6888
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010947450001 | Other | PA | PA MEDICAL ASSISTANCE |
| 01822701 | Other | PA | KEYSTONE HEALTH PLAN CENT |
| 2593 | Other | PA | GEISINGER HEALTH PLAN |
| 01822701 | Other | PA | CAPITAL BLUE CROSS |
| 439269 | Other | PA | HIGHMARK BLUE SHIELD |
| 050062824 | Other | PA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77074 | MT | MD | Addiction Medicine (Anesthesiology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centre County Anesthesia, P.C. | Anesthesiology | Past | Accepting new patients |
| State College Anesthesia Associates, P.C. | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- State College, PA
- NPI 1548213580
-
- Anesthesiology Physician
- State College, PA
- NPI 1063730117
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610668800000",
"number": "1346273208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 LIBERTY ST",
"city": "BOALSBURG",
"state": "PA",
"postal_code": "168271031",
"telephone_number": "570-246-3921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 2ND AVENUE WEST N STE 101A",
"city": "KALISPELL",
"state": "MT",
"postal_code": "599013910",
"telephone_number": "570-246-3921"
}
],
"practiceLocations": [
{
"address_1": "1022 State Park Rd",
"address_purpose": "LOCATION",
"city": "Whitefish",
"state": "MT",
"postal_code": "599373136",
"country_code": "US",
"telephone_number": "570-246-3921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 Liberty St",
"address_purpose": "LOCATION",
"city": "Boalsburg",
"state": "PA",
"postal_code": "168271031",
"country_code": "US",
"telephone_number": "814-441-6888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DURKIN",
"first_name": "DAVID",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-07",
"last_updated": "2021-01-15",
"certification_date": "2021-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD032407E",
"primary": false
},
{
"code": "207LA0401X",
"taxonomy_group": "",
"desc": "Anesthesiology, Addiction Medicine",
"state": "MT",
"license": "77074",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA MEDICAL ASSISTANCE",
"identifier": "0010947450001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN CENT",
"identifier": "01822701",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER HEALTH PLAN",
"identifier": "2593",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "01822701",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "439269",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "050062824",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalispell, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.