Active NPI
Wayne Mark Duran, M.D.
- Preferred Provider Organization
- Auburn, WA
National Provider Identifier
1912099383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preferred Provider Organization
- License
- MD 00020201
- Practice address
- 1402 Lake Tapps Pkwy E
Suite F106
Auburn, WA 98092-8157 - Phone
- (253) 288-8882
- Fax
- (253) 288-2283
- NPI assigned
- Sep 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Preferred Provider Organization | 305R00000X | MD 00020201 | WA | Primary |
Addresses
Primary practice location
1402 Lake Tapps Pkwy E
Suite F106
Auburn, WA 98092-8157
Mailing address
PO Box 1237
Milton, WA 98354-1237
Phone (253) 288-8882
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD 00020201 | WA | MD | Preferred Provider Organization |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital | Past | Accepting new patients | |
| Access Healthcare, PLLC | Past | Accepting new patients | |
| Mt. Rainier Emergency Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- wayne.duran.1@25100.direct.athenahealth.com
- https://api.platform.athenahealth.com/25100/brand/2/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Auburn, WA
- NPI 1194052506
-
- Pulmonary Disease Physician
- Puyallup, WA
- NPI 1336160969
-
- Emergency Medicine Physician
- Puyallup, WA
- NPI 1538104476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912099383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1237",
"city": "MILTON",
"state": "WA",
"postal_code": "983541237",
"telephone_number": "253-288-8882",
"fax_number": "253-288-2283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 LAKE TAPPS PKWY E",
"address_2": "SUITE F106",
"city": "AUBURN",
"state": "WA",
"postal_code": "980928157",
"telephone_number": "253-288-8882",
"fax_number": "253-288-2283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "WAYNE",
"middle_name": "MARK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "305R00000X",
"taxonomy_group": "",
"desc": "Preferred Provider Organization",
"state": "WA",
"license": "MD 00020201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Auburn, WA
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.