Organization Active NPI

Patricia J Dury MD PA Inc

  • Specialist
  • Cape Coral, FL
National Provider Identifier
1942568480
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0070701 Issued in FL
Legal business name
PATRICIA J DURY MD PA INC
Practice address
1708 Cape Coral Parkway W
Suite 13
Cape Coral, FL 33914
Phone
(239) 945-5015
Fax
(239) 945-5017
NPI assigned
May 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Dr. Patricia J Dury, MD
Title
Doctor
Phone
(239) 945-5015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME0070701 FL Primary

Addresses

Primary practice location

1708 Cape Coral Parkway W
Suite 13
Cape Coral, FL 33914

Mailing address

1708 Cape Coral Pkwy W
Suite 13
Cape Coral, FL 33914-6985
Phone (239) 945-5015

Other identifiers 1

IdentifierTypeStateIssuer
379778300MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1942568480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1708 CAPE CORAL PKWY W",
            "address_2": "SUITE 13",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339146985",
            "telephone_number": "239-945-5015",
            "fax_number": "239-945-5017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 CAPE CORAL PARKWAY W",
            "address_2": "SUITE 13",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "33914",
            "telephone_number": "239-945-5015",
            "fax_number": "239-945-5017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA J DURY MD PA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "DURY",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "239-945-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0070701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379778300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Coral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.