NPIMap

Organization Active NPI

Kenneth F Duggan Crna Inc

  • Certified Registered Nurse Anesthetist
  • Durant, OK
National Provider Identifier
1437219383
Registry record updated Jul 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
R0045503 Issued in OK
Legal business name
KENNETH F DUGGAN CRNA INC
Practice address
1800 W University Blvd
Durant, OK 74701-3006
Phone
(580) 924-3813
Fax
(580) 924-0909
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2008

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

Authorized official

Name
Kenneth Francis Duggan, CRNA
Title
Crna
Phone
(580) 924-3813

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X R0045503 OK Primary

Addresses

Primary practice location

1800 W University Blvd
Durant, OK 74701-3006

Mailing address

PO Box 5188
Durant, OK 74702-5188
Phone (580) 924-3813

Other identifiers 5

IdentifierTypeStateIssuer
367500000XOtherOKTAXONOMY CODE NUMBER
550564322001OtherOKBCBS
200109850AMedicaidOK
R0045503OtherOKLICENSE NUMBER
193400000XOtherOKSINGLE SPECIALITY GROUP TAXONOMY CODE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216252800000",
    "number": "1437219383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5188",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747025188",
            "telephone_number": "580-924-3813",
            "fax_number": "580-924-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W UNIVERSITY BLVD",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747013006",
            "telephone_number": "580-924-3813",
            "fax_number": "580-924-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH F DUGGAN CRNA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-07-17",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "CRNA",
        "authorized_official_telephone_number": "580-924-3813",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "OK",
            "license": "R0045503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY CODE NUMBER",
            "identifier": "367500000X",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "550564322001",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200109850A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "R0045503",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SINGLE SPECIALITY GROUP TAXONOMY CODE",
            "identifier": "193400000X",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.

Verify at the official NPI Registry.