Active NPI
Durham Emergency Physicians, PA
- Specialist
- Durham, NC
National Provider Identifier
1831158245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- DURHAM EMERGENCY PHYSICIANS, PA
- Practice address
- 3643 N Roxboro St
Durham, NC 27704-2702 - Phone
- (919) 477-5345
- Fax
- (919) 477-5474
- NPI assigned
- Mar 23, 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
- Rachel Mitchell
- Title
- Billing/Coding Director
- Phone
- (919) 477-5152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3643 N Roxboro St
Durham, NC 27704-2702
Mailing address
PO Box 15386
Durham, NC 27704-0386
Phone (919) 477-5345
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC1967 | Other | NC | MEDICARE RAILROAD |
| 07615 | Other | NC | BLUE CROSS BLUE SHIELD |
| 6907615 | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1229040000000",
"number": "1831158245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15386",
"city": "DURHAM",
"state": "NC",
"postal_code": "277040386",
"telephone_number": "919-477-5345",
"fax_number": "919-477-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042702",
"telephone_number": "919-477-5345",
"fax_number": "919-477-5474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DURHAM EMERGENCY PHYSICIANS, PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2008-12-12",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "BILLING/CODING DIRECTOR",
"authorized_official_telephone_number": "919-477-5152"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "CC1967",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "07615",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6907615",
"state": "NC"
}
],
"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 Dec 12, 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.