Organization Active NPI

Patricia Duley MDPC

  • Internal Medicine Physician
  • Gaylord, MI
National Provider Identifier
1851690341
Registry record updated Mar 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301406951 Issued in MI
Legal business name
PATRICIA DULEY MDPC
Practice address
606 N Court Ave
Gaylord, MI 49735-1516
Phone
(989) 732-8986
Fax
(989) 731-1737
NPI assigned
Mar 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2011

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

Authorized official

Name
Dr. Patricia Duley, MD
Title
President
Phone
(989) 732-8986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 4301406951 MI Primary

Addresses

Primary practice location

606 N Court Ave
Gaylord, MI 49735-1516

Mailing address

606 N Court Ave
Gaylord, MI 49735-1516
Phone (989) 732-8986

Other identifiers 1

IdentifierTypeStateIssuer
2904509MedicaidMI

National Provider Directory

National Provider Directory

Locations

606 N Court Ave
Gaylord, MI 49735
Phone (989) 732-6488

NPI Registry JSON

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

{
    "created_epoch": "1300838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300838400000",
    "number": "1851690341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351516",
            "telephone_number": "989-732-8986",
            "fax_number": "989-731-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 N COURT AVE",
            "city": "GAYLORD",
            "state": "MI",
            "postal_code": "497351516",
            "telephone_number": "989-732-8986",
            "fax_number": "989-731-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA DULEY MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-23",
        "last_updated": "2011-03-23",
        "status": "A",
        "authorized_official_last_name": "DULEY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "989-732-8986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2904509",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaylord, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2011; 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.