Edouard J Duret, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MD00036757 Issued in WA

Practice address

176 1St Ave N
Ilwaco, WA 98624

Phone

(360) 642-3747

Fax

(360) 642-3361

NPI assigned

Sep 22, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pacific County Hospital District 2

  dba Willapa Harbor Hospital

  • Critical Access Hospital
  • South Bend, WA
  • NPI 1295708683
  NPD (past)
• Pacific County Hospital District 2

  dba Willapa Medical Clinic

  • Rural Health Clinic/Center
  • South Bend, WA
  • NPI 1760582522
  NPD (past)
• Columbia Lutheran Charities

  dba Lower Columbia Hospice

  • Community Based Hospice Care Agency
  • Astoria, OR
  • NPI 1023038858
  NPD (past)
• Columbia Lutheran Charities

  dba Columbia Memorial Hospital

  • Critical Access Hospital
  • Astoria, OR
  • NPI 1932814704
  NPD (past)

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487640884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 1ST AVE N",
            "address_2": "PO DRAWER N",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "98624",
            "telephone_number": "360-642-3747",
            "fax_number": "360-642-3361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 1ST AVE N",
            "city": "ILWACO",
            "state": "WA",
            "postal_code": "98624",
            "telephone_number": "360-642-3747",
            "fax_number": "360-642-3361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURET",
        "first_name": "EDOUARD",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD00036757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "DU7152",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8233090",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "111916",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William G Chisholm Jr., CRNA
• City of Ilwaco (Ilwaco Fire Department)
• Jessica Clark
• Brent Lawrence Corvalan, MA
• Discovery Coast Emergency Physicians LLC
• Albert O Fabiano, MD
• Susan C Freese, RPH
• Vaughan Gendelman, DPT
• Jeffrey Shane Harrell, PHARMD
• Brenda Simone Haskett, LMT

• Surgery Physician in Ilwaco, WA
• Providers in Ilwaco, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.