Terry D Durham, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

1069081 Issued in KY

Practice address

520 W Gum St
Marion, KY 42064-1516

Phone

(270) 965-5281

Fax

(270) 965-4852

NPI assigned

Jun 15, 2006

Last updated

Aug 14, 2014By 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

Enrolled in KY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crittenden Community Hospital LLCGroup PAC ID 8426398793, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crittenden Community Hospital Hospital, Marion, KY, CCN 180779

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/critten-2b2d21fb
• FHIR API: https://fhir4.healow.com/fhir/r4/GIDFCD

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.

• Crittenden Community Hospital LLC

  dba Crittenden Community Hospital

  • Emergency Medicine Physician
  • Marion, KY
  • NPI 1275097339

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Caldwell County Hospital, Inc

  dba Caldwell Medical Associates

  • Physician Assistant
  • Princeton, KY
  • NPI 1891207460

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Caldwell County Hospital, Inc

  • Occupational Medicine Physician
  • Princeton, KY
  • NPI 1780688333
  NPD
• Caldwell County Hospital, Inc.

  dba Caldwell Medical Associates

  • Rural Health Clinic/Center
  • Eddyville, KY
  • NPI 1780464826
  NPD
• Crittenden Community Hospital LLC

  dba Sturgis Family Care

  • Clinic/Center
  • Sturgis, KY
  • NPI 1013727882
  NPD
• Crittenden County Hospital

  dba Burkhart Rural Health Clinic

  • Geriatric Medicine (Family Medicine) Physician
  • Salem, KY
  • NPI 1265481022
  NPD
• Family Practice Clinic PSC

  • Family Medicine Physician
  • Marion, KY
  • NPI 1467454041
  NPD
• Crittenden Community Hospital LLC

  dba Crittenden Community Hospital

  • Rural Acute Care Hospital
  • Marion, KY
  • NPI 1053885392
  NPD (past)

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

• Crittenden Community Hospital LLC

  dba Crittenden Community Hospital

  • Rural Acute Care Hospital
  • Marion, KY
  • NPI 1053885392
  Care Compare affiliation

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407974400000",
    "number": "1699719534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 386",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420640386",
            "telephone_number": "270-965-5281",
            "fax_number": "270-965-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 W GUM ST",
            "city": "MARION",
            "state": "KY",
            "postal_code": "420641516",
            "telephone_number": "270-965-5281",
            "fax_number": "270-965-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURHAM",
        "first_name": "TERRY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "1069081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74408006",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000066369",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "430056263",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crittenden County Hospital
• Crittenden County Schools
• Crittenden County Tomorrow Inc (Crittenden County Counseling)
• Crittenden Health Systems
• Crockett Distributors (Special You DBA)
• Marcie Ann Ellington, APRN
• Family Practice Clinic PSC
• Graves County Health Department
• Graves County Health Department
• Healthquest Wellness Center PSC

• Certified Registered Nurse Anesthetist in Marion, KY
• Providers in Marion, KY by specialty
• Certified Registered Nurse Anesthetist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.