William Joseph Durie, MD
Individual provider Active NPI Family Medicine Physician · Orr, MN
NPI 1528096195 · NPPES record last updated Feb 10, 2023
Key facts
- NPI
- 1528096195
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 39025 (MN)
- Practice address
- 5219 Saint John Dr
Orr, MN 55771-8232 - Phone
- (218) 757-3650
- Fax
- (218) 757-0234
- NPI assigned
- Jun 30, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- State University of New York at Stony Brook, School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bois Forte Reservation Tribal Government
Practice addresses (Care Compare)
5219 Saint John Dr
Orr, MN 55771-8232
Phone (218) 757-3650
Hospital & facility affiliations
- Essentia Health Virginia
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100408000210 | MN | Practitioner - Family Practice | 6406982008 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39025 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bois Forte Reservation Tribal Government | Current |
Accepting new patients | |
| Bois Forte Reservation Tribal Government | Family Medicine | Current | Accepting new patients |
Locations
13071 Nett Lake Rd
Orr, MN 55771
Phone (218) 757-3650
5219 Saint John Dr
Orr, MN 55771
Phone (218) 757-3431
1613 Farm Rd S
Tower, MN 55790
Phone (218) 753-2180
1610 Farm Rd S
Tower, MN 55790
Phone (218) 753-2182
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39025 | MN | Yes |
Addresses
Primary practice location
5219 Saint John Dr
Orr, MN 55771-8232
Mailing address
5219 Saint John Dr
Orr, MN 55771-8232
Phone (218) 757-3650
Other practice location 1
1613 Farm Rd S
Tower, MN 55790-8199
Phone (218) 753-2182
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 173821600 | Medicaid | MN |
Other providers in Orr, MN
- Brandon Mark Anderson
- Bois Forte Reservation Tribal Council
- Wendy Drift
- Melissa Hawk
- Raymond Lawrence Hawk
- Charles R Helleloid
- Jane Marie Lawrenz
- Crystal Lee Lobe
All providers in Orr, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.