Individual provider Active NPI

David J Durkin, M.D.

  • Addiction Medicine (Anesthesiology) Physician
  • Kalispell, MT
National Provider Identifier
1346273208
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X
License
77074 Issued in MT
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0010947450001OtherPAPA MEDICAL ASSISTANCE
01822701OtherPAKEYSTONE HEALTH PLAN CENT
2593OtherPAGEISINGER HEALTH PLAN
01822701OtherPACAPITAL BLUE CROSS
439269OtherPAHIGHMARK BLUE SHIELD
050062824OtherPARAILROAD 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

LicenseStateTypeSpecialty
77074MTMDAddiction Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centre County Anesthesia, P.C. Anesthesiology Past Accepting new patients
State College Anesthesia Associates, P.C. Anesthesiology PastSince Dec 1, 2003 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.

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.

Verify at the official NPI Registry.