Active NPI
Lenard Roy Durrett, M.D., PH.D.
- Pain Medicine (Anesthesiology) Physician
- Hazard, KY
National Provider Identifier
1831158393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- G5008
- Practice address
- 200 Medical Center Dr Ste 2D
Hazard, KY 41701-9422 - Phone
- (606) 487-7951
- Fax
- (606) 487-7952
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | G5008 | TX | Primary |
Addresses
Primary practice location
200 Medical Center Dr Ste 2D
Hazard, KY 41701-9422
Mailing address
100 Airport Gardens Rd Ste 311
Hazard, KY 41701-9529
Phone (606) 439-6978
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MDG5008 | Other | TX | WC PROVIDER NUMBER |
| 2142031 | Other | AETNA PROVIDER NO | |
| 135482109 | Medicaid | TX | |
| 00DA71 | Other | TX | BCBS PROVIDER NUMBER |
| 604327000 | Other | DEPT OF LABOR PROV NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G5008 | TX | MD | Pain Medicine (Anesthesiology) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591920000000",
"number": "1831158393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 AIRPORT GARDENS RD STE 311",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019529",
"telephone_number": "606-439-6978",
"fax_number": "606-439-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MEDICAL CENTER DR STE 2D",
"city": "HAZARD",
"state": "KY",
"postal_code": "417019422",
"telephone_number": "606-487-7951",
"fax_number": "606-487-7952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURRETT",
"first_name": "LENARD",
"middle_name": "ROY",
"name_prefix": "Dr.",
"credential": "M.D., PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2020-06-12",
"certification_date": "2020-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "G5008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WC PROVIDER NUMBER",
"identifier": "MDG5008",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NO",
"identifier": "2142031",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "135482109",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "00DA71",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR PROV NO",
"identifier": "604327000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hazard, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.