Philip S. Durocher, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4301068559 Issued in MI

Practice address

1201 N Telegraph Rd
Oakland County Jail
Pontiac, MI 48341-1029

Phone

(248) 858-1812

Fax

(248) 858-1695

NPI assigned

Jan 26, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881740579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 N TELEGRAPH RD",
            "address_2": "OAKLAND COUNTY JAIL",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411029",
            "telephone_number": "248-858-1812",
            "fax_number": "248-858-1695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N TELEGRAPH RD",
            "address_2": "OAKLAND COUNTY JAIL",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483411029",
            "telephone_number": "248-858-1812",
            "fax_number": "248-858-1695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUROCHER",
        "first_name": "PHILIP",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301068559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leah Dunville, DO
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• Lauren Ashley Dushane, MA, MLP
• Sherry Lynn Dustman, O.D.
• Luke Dyras, DO
• Easterseals Morc Health Care, Inc.

• Family Medicine Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.