NPIMap

Organization Active NPI

Duke University

  • Specialist
  • Durham, NC
National Provider Identifier
1629269873
Registry record updated Aug 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DUKE UNIVERSITY
Practice address
5704 Fayetteville Rd
Durham, NC 27713-9089
Phone
(619) 807-2953
NPI assigned
Aug 5, 2007
Last updated
Aug 5, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2007

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

Authorized official

Name
Dr. Larisa P Gavrilova-Jordan, M.D.
Title
Ref Fellow Physician
Phone
(619) 807-2953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X NC Primary

Addresses

Primary practice location

5704 Fayetteville Rd
Durham, NC 27713-9089

Mailing address

5438 Echo Ridge Rd
Raleigh, NC 27612-6949
Phone (619) 807-2953

National Provider Directory

National Provider Directory
Tax ID family
Duke Hospital Outpatient Clinic24 organizations share this tax ID, including this one

Other organizations with this tax ID 23

Organizations that report the same tax identification number in the National Provider Directory.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1629269873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5438 ECHO RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276126949",
            "telephone_number": "619-807-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5704 FAYETTEVILLE RD",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277139089",
            "telephone_number": "619-807-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUKE UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "GAVRILOVA-JORDAN",
        "authorized_official_first_name": "LARISA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "REF FELLOW PHYSICIAN",
        "authorized_official_telephone_number": "619-807-2953",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.