Organization Active NPI

Jose I Duran MD PC

  • Clinic/Center
  • Nogales, AZ
National Provider Identifier
1467667626
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
14385AZ Issued in AZ
Legal business name
JOSE I DURAN MD PC
Doing business as
The Women's Center
Practice address
494 N. Carondelet Dr.
Nogales, AZ 85621-2453
Phone
(520) 761-1603
Fax
(520) 287-4471
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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

Authorized official

Name
Dr. Jose I Duran, M.D.
Title
Owner
Phone
(520) 761-1603

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 14385AZ AZ Primary

Addresses

Primary practice location

494 N. Carondelet Dr.
Nogales, AZ 85621-2453

Mailing address

494 N Carondelet Dr
Nogales, AZ 85621-2453
Phone (520) 761-1603

Other identifiers 10

IdentifierTypeStateIssuer
61101OtherAZHUMANA
AZ0183670OtherAZBCBS
245648MedicaidAZ
4045627OtherAZAETNA PPO
91151OtherAZSTERLING
627124OtherAZAETNA HMO
1Z1662OtherAZHEALTHNET
3323971004OtherAZCIGNA
AZ0183670OtherAZASBAIT
Z67249OtherMEDICARE

Other names 1

  • The Women's Center Doing business as

National Provider Directory

National Provider Directory

Locations

494 N Carondelet Dr
Nogales, AZ 85621
Phone (520) 761-1603

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1467667626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 N CARONDELET DR",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212453",
            "telephone_number": "520-761-1603",
            "fax_number": "520-287-4471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 N. CARONDELET DR.",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212453",
            "telephone_number": "520-761-1603",
            "fax_number": "520-287-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE I DURAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-761-1603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "14385AZ",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "61101",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "AZ0183670",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "245648",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "4045627",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STERLING",
            "identifier": "91151",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "627124",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "1Z1662",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3323971004",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASBAIT",
            "identifier": "AZ0183670",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z67249",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Women's Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nogales, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.