Active NPI
Durham Dermatology
- Dermatology Physician
- Durham, NC
National Provider Identifier
1649232687
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- DURHAM DERMATOLOGY
- Practice address
- 2609 N Duke St
Suite 403
Durham, NC 27704-3048 - Phone
- (919) 220-8300
- Fax
- (919) 220-5805
- NPI assigned
- Apr 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patricia Marchase Mauro, MD
- Title
- MD
- Phone
- (919) 220-8300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
2609 N Duke St
Suite 403
Durham, NC 27704-3048
Mailing address
2609 N Duke St
Suite 403
Durham, NC 27704-3048
Phone (919) 220-8300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0174T | Other | NC | BCBS OF NORTH CAROLINA |
| 790174T | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Durham, NC
- NPI 1699745588
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1649232687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2609 N DUKE ST",
"address_2": "SUITE 403",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "919-220-8300",
"fax_number": "919-220-5805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2609 N DUKE ST",
"address_2": "SUITE 403",
"city": "DURHAM",
"state": "NC",
"postal_code": "277043048",
"telephone_number": "919-220-8300",
"fax_number": "919-220-5805"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURHAM DERMATOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-05",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "MAURO",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "MARCHASE",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "919-220-8300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NORTH CAROLINA",
"identifier": "0174T",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790174T",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- Durham County Health Department (VNS of Durham County)
- Durham County Health Department Pharmacy
- Durham County Mental and Behavioral Health Services, LLC
- Durham County Mental Health Center LLC
- Durham DBT, Inc.
- Durham Diagnostic Imaging LLC (Central Medical Park)
- Durham Diagnostic Imaging LLC (Triangle Medical Park)
- Durham Diagnostic Imaging LLC (Independence Park)
- Durham Emergency Physicians, PA
- Durham Exchange Club Industries
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.