Active NPI
Michael Hurd Paine, MD
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- Durango, CO
National Provider Identifier
1417070715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Emergency Medicine) Physician
- License
- 43059
- Practice address
- 575 Rivergate Lane
Durango, CO 81301-7487 - Phone
- (970) 385-2364
- Fax
- (970) 385-2396
- NPI assigned
- Apr 9, 2007
- Last updated
- May 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Emergency Medicine) Physician | 207PH0002X | 43059 | CO | Primary |
Addresses
Primary practice location
575 Rivergate Lane
Durango, CO 81301-7487
Mailing address
PO Box 108822
Oklahoma City, OK 73101-8822
Phone (970) 385-2364
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 90359046 | Medicaid | CO |
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 |
|---|---|---|---|
| 43059 | CO | MD | Hospice and Palliative Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1417070715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 108822",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731018822",
"telephone_number": "970-385-2364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 RIVERGATE LANE",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017487",
"telephone_number": "970-385-2364",
"fax_number": "970-385-2396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAINE",
"first_name": "MICHAEL",
"middle_name": "HURD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "207PH0002X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Hospice and Palliative Medicine",
"state": "CO",
"license": "43059",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90359046",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.