Individual provider Active NPI

Ryan F Durkin, MD

  • Anesthesiology Physician
  • Pensacola, FL
National Provider Identifier
1609034594
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME 116657 Issued in FL
Practice address
1851 Saint Mary Ave
Pensacola, FL 32501-1053
Phone
(850) 226-6801
Fax
(877) 413-5104
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD37385 AL
Anesthesiology Physician 207L00000X ME 116657 FL Primary

Addresses

Primary practice location

1851 Saint Mary Ave
Pensacola, FL 32501-1053

Mailing address

1613 Harrison Pkwy
Suite 200
Sunrise, FL 33323-2896

Other practice location 1

2826 Ross Clark Cir Ste 103
Dothan, AL 36301-2017
Phone (850) 226-6801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20131114000040 FL Practitioner - Anesthesiology 4486880846 Reassigns benefits to 1 organization
I20181017002317 AL Practitioner - Pain Management 4486880846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Mercer University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dynamic Pain and Wellness LLCGroup PAC ID 8527364058, 29 clinicians

Practice addresses (Care Compare)

1924 K Dauphin Island Pkwy
Mobile, AL 36605-3004
Phone (251) 308-9800

5111 N 12TH Ave
Pensacola, FL 32504-8918
Phone (850) 226-6801

Hospital & facility affiliations

  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • North Okaloosa Medical Center Hospital, Crestview, FL, CCN 100122
  • Santa Rosa Medical Center Hospital, Milton, FL, CCN 100124
  • HCA Florida West Hospital Hospital, Pensacola, FL, CCN 100231

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD37385ALMDAnesthesiology Physician
ME 116657FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Pain & Wellness LLC Anesthesiology CurrentSince Sep 15, 2016 Accepting new patients
Dynamic Pain & Wellness LLC CurrentSince Sep 15, 2016 Accepting new patients
Dynamic Chiro & PT LLC Past Accepting new patients

Locations

2826 Ross Clark Cir
Ste 103
Dothan, AL 36301
Phone (251) 308-9800

1924K Dauphin Island Pkwy
Mobile, AL 36605
Phone (251) 308-9800

930 Mar Walt Dr
Unit C
Fort Walton Beach, FL 32547
Phone (850) 431-6183

930 Mar Walt Dr
Fort Walton Beach, FL 32547
Phone (850) 331-2930

6044 Doctors Park
Milton, FL 32570
Phone (786) 655-0529

5111 N 12th Ave
Pensacola, FL 32504
Phone (850) 291-7641

1851 Saint Mary Ave
Pensacola, FL 32501

4457 Bayou Blvd
Pensacola, FL 32503
Phone (504) 842-4851

5111 N 12th Ave
Unit B
Pensacola, FL 32504

Interoperability endpoints

  • Direct secure messaging: ryan.durkin@2498.securemail.prognocis.com

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1609034594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 HARRISON PKWY",
            "address_2": "SUITE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1851 SAINT MARY AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011053",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2826 Ross Clark Cir Ste 103",
            "address_purpose": "LOCATION",
            "city": "Dothan",
            "state": "AL",
            "postal_code": "363012017",
            "country_code": "US",
            "telephone_number": "850-226-6801",
            "fax_number": "877-413-5104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURKIN",
        "first_name": "RYAN",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "AL",
            "license": "MD37385",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME 116657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.