Doctors Clinic of Durant Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

DOCTORS CLINIC OF DURANT INC

Practice address

1400 Bryan Dr
#300
Durant, OK 74701-2158

Phone

(580) 924-1700

Fax

(580) 924-1736

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Edie Howell

Title

Office Manager

Phone

(580) 924-1700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Koteswar Rao Sureddi, M.D.

  • Family Medicine Physician
  • Durant, OK
  • NPI 1780621052
  NPD (past)
• Seetha Devi Sureddi, M.D.

  • Obstetrics & Gynecology Physician
  • Durant, OK
  • NPI 1376581314
  NPD (past)

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346976000000",
    "number": "1457558827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "#300",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "580-924-1700",
            "fax_number": "580-924-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 BRYAN DR",
            "address_2": "#300",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012158",
            "telephone_number": "580-924-1700",
            "fax_number": "580-924-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS CLINIC OF DURANT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-09-07",
        "status": "A",
        "authorized_official_last_name": "HOWELL",
        "authorized_official_first_name": "EDIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-924-1700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100733950C",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shade M Dill
• David W Dillow, D.O.
• Nicholi Katharina Dillow, LPC
• Diversified Consulting, Inc.
• William H Dixon Jr., PTA
• Doctors Clinic of Durant Inc
• Eleanor Miraflor Domingo, PT
• Donald W Malone MD PC
• Kaitlyn Douglas
• Lindsey Kay Dowdy

• Rural Health Clinic/Center in Durant, OK
• Providers in Durant, OK by specialty
• Rural Health Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.