DR. RODNEY MARTIN DURHAM (NPI# 1710926514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710926514 |
| Entity Type | Individual |
| Full Name | DR. RODNEY MARTIN DURHAM |
| Credential | MD |
| Practice Address |
100 E Lancaster Ave Ste 257 Wynnewood PA 19096 |
| Mailing Address |
100 E Lancaster Ave Ste 257 Wynnewood PA 19096-3450 |
| Practice Telephone | 6106421908 |
| Practice Fax Number | 6106426808 |
| Mailing Telephone | 6106421908 |
| Mailing Fax Number | 6106426808 |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2020-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MD463258 | PA | Allopathic & Osteopathic Physicians |
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
MD463258 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 261-537-100 | 05 | |
| FL | MEDICAL LICENSE | ME85293 | 01 |
| Street Address |
100 E LANCASTER AVE STE 257 |
| City | WYNNEWOOD |
| State | PA |
| Zip Code | 19096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831727866 | Jeffrey Glenn Johnston | Hospitalist | Lankenau Medical Center. 100 E Lancaster Ave, Wynnewood, PA 19096 | 2020-03-27 |
| 1326500331 | Maitri Pancholy | Student in an Organized Health Care Education/Training Program | Annenberg Center, G-10, 100 Lancaster Avenue, Wynnewood, PA 19096 | 2019-04-01 |
| 1306355987 | Karie Elizabeth Melton | Social Worker | 250 E Wynnewood Rd E12, Wynnewood, PA 19096 | 2017-09-26 |
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1366814675 | Linda Elkins | Counselor | 543 Haverford Rd, Wynnewood, PA 19096 | 2015-10-26 |
| 1619347655 | Tessa Kovick | Registered Nurse | 100 E Lancaster Ave Ste 114, Wynnewood, PA 19096 | 2015-10-02 |
| 1922476415 | Amy Lenrow | Skilled Nursing Facility | 1510 Powder Mill Lane, Wynnewood, PA 19096 | 2015-09-14 |
| 1144602855 | Casey Dajao | Internal Medicine | 100 E Lancaster Ave Ste 140, Wynnewood, PA 19096 | 2015-06-18 |
| 1649666223 | Benjamin Larson | Internal Medicine | 100 E Lancaster Ave Ste B11, Wynnewood, PA 19096 | 2015-04-10 |
| 1760873285 | Kathleen Gilmartin | Nurse Practitioner | 100 East Lancaster Ave, Wynnewood, PA 19096 | 2015-02-06 |
| Find all providers in zip 19096 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518320662 | Kaitlyn Kennard | Surgery | 100 Lancaster Ave Mob South Suite 422, Wynnewood, PA 19096 | 2016-04-05 |
| 1912175027 | Julia Mayberry | Surgery | 100 E Lancaster Ave Ste 253, Wynnewood, PA 19096-3432 | 2008-02-12 |
| 1003819079 | Robert D. Smink Jr. | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2005-05-24 |
| 1992333041 | Samir G Yezdani | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-04-01 |
| 1528695160 | Dane Van Den Akker | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-03-24 |
| 1376170050 | Katherine Jones | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096-3450 | 2020-03-24 |
| 1871131391 | Annette Marie Hargadon | Surgery | 100 E Lancaster Ave Ste 275, Wynnewood, PA 19096-3450 | 2019-12-16 |
| 1033616842 | Daniel Jo | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096 | 2018-04-09 |
| 1760987762 | Erik Osman Saka | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096 | 2018-03-29 |
| 1114422177 | Timothy Andrew Carlon | Surgery | 100 E Lancaster Ave, Wynnewood, PA 19096 | 2018-03-29 |
| Find all providers in WYNNEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.