Anthony J. Duran, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

80-PA005 Issued in NM

Practice address

1900 Hot Springs Blvd.
Suite D
Las Vegas, NM 87701-3481

Phone

(505) 425-3718

NPI assigned

Aug 31, 2005

Last updated

Apr 19, 2010By the provider in NPPES

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

Other identifiers 1

Other names 1

• Antonio J. Duran Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271635200000",
    "number": "1972596336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HOT SPRINGS BLVD.",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013481",
            "telephone_number": "505-425-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HOT SPRINGS BLVD.",
            "address_2": "SUITE D",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877013481",
            "telephone_number": "505-425-3718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURAN",
        "first_name": "ANTHONY",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "80-PA005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70562",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANTONIO",
            "last_name": "DURAN",
            "middle_name": "J.",
            "credential": "PA-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Gabrielle Andrea Dizon, OTR/L
• Noah Dobbe, LMHC
• Docmac Comfort Care LLC (Frank McDonald)
• Corinne F. Dominguez, LBSW
• Dominique Jodie Dosedo
• Melissa Duran
• Edward Ebell, DDS
• Maeyer Edmondson, REIKI PRACTITIONER
• Jaime J Edwards, LMHC
• El Centro Family Health (Sierra Vista School Based Clinic)

• Medical Physician Assistant in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2010; 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.