Ronald G. Duerksen, MD, PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

RONALD G. DUERKSEN, MD, PC

Practice address

1055 N 300 W Ste 416
Provo, UT 84604-3354

Phone

(801) 357-7770

Fax

(801) 357-7639

NPI assigned

Feb 2, 2012

Organization subpart

No

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

Authorized official

Name

Jan Graham Thurston

Title

Office Manager

Phone

(801) 357-7770

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332806400000",
    "number": "1356613558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 416",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043354",
            "telephone_number": "801-357-7770",
            "fax_number": "801-357-7639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N 300 W STE 416",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846043354",
            "telephone_number": "801-357-7770",
            "fax_number": "801-357-7639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD G. DUERKSEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-03-27",
        "status": "A",
        "authorized_official_last_name": "THURSTON",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "GRAHAM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-357-7770"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "UT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ema Romberg
• Demetrius Romero
• Elise Romney
• Pace Romney, M.D.
• Ronald C. Jones, M.D., P.C.
• Jocelyn Rood
• Kelsey Nichole Rood
• Victoria Elizabeth Rosa
• Marianela Rosales Gerpe, MD
• Christian Rosales

• Specialist in Provo, UT
• Providers in Provo, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; 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.