SHANE DURKIN (NPI# 1912361395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912361395 |
| Entity Type | Individual |
| Full Name | SHANE DURKIN |
| Credential | MD |
| Practice Address |
11845 N Cassiopeia Dr Oro Valley AZ 85737 |
| Mailing Address |
11845 N Cassiopeia Dr Oro Valley AZ 85737-3464 |
| Practice Telephone | 4805772236 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2018-05-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 54251 | AZ | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 54251 | AZ | Allopathic & Osteopathic Physicians |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
11845 N CASSIOPEIA DR |
| City | ORO VALLEY |
| State | AZ |
| Zip Code | 85737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568959807 | Ama Medical Services Mohamed Coulibaly Dit Fall Sole Mbr | Nurse Practitioner | 11069 N Mountain Breeze Dr, Tucson, AZ 85737 | 2018-04-20 |
| 1174045736 | Mojgan Rezaei | Acupuncturist | 10371 N. Oracle Rd, Suite 101a, Oro Valley, AZ 85737 | 2017-07-14 |
| 1558882977 | Oro Valley Health and Wellness Chiropractic, PC | Chiropractor | 11115 N La Canada, Ste. 155, Oro Valley, AZ 85737 | 2017-07-06 |
| 1003239237 | Jay C Wise | Pharmacist | 1682 W Petunia Pl, Tucson, AZ 85737 | 2014-01-23 |
| 1679867048 | Anthony Robert Palmieri | Pharmacist | 10555 N Oracle Rd., Cvs In Target #16217, Oro Valley, AZ 85737 | 2011-06-02 |
| 1215159124 | Ruby Lynn Guyot | Physical Therapist | 809 W. Annandale Way, Oro Valley, AZ 85737 | 2007-05-02 |
| 1255430641 | Joyce A Hagin | Dentist | 10550 N. Lacanada Dr, Suite # 106, Oro Valley, AZ 85737 | 2006-09-21 |
| 1801806294 | Rebecca Anne Franzi-osborne | Internal Medicine | 10515 N. Oracle Road, Suite 185, Oro Valley, AZ 85737 | 2006-08-08 |
| 1558391672 | Eun Joo Oh | Internal Medicine | 555 E Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2006-07-04 |
| 1043252844 | John D Dougherty IIi | Internal Medicine | 555 E. Vuelta Caminata Del Rio, Oro Valley, AZ 85737 | 2006-06-13 |
| Find all providers in zip 85737 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184271041 | Kim Young Carroll | Student in an Organized Health Care Education/Training Program | 2150 E Tangerine Rd, Oro Valley, AZ 85755-6236 | 2019-08-23 |
| 1043667447 | Kathryn Limke | Student in an Organized Health Care Education/Training Program | 10405 N La Canada Dr, Oro Valley, AZ 85737-6945 | 2016-05-16 |
| 1881977056 | Ae Ri Lee | Student in an Organized Health Care Education/Training Program | 10450 N La Canada Dr, Oro Valley, AZ 85737-7027 | 2011-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669215 | Rhian Kay Sage | Student in an Organized Health Care Education/Training Program | 737 E Fillmore St, Tempe, AZ 85281-1142 | 2020-11-08 |
| 1730788928 | Gabriella Jones | Student in an Organized Health Care Education/Training Program | 12104 S 181st Dr, Goodyear, AZ 85338-7865 | 2020-10-20 |
| 1174122279 | Amanda Oas | Student in an Organized Health Care Education/Training Program | 6304 W Corrine Dr, Glendale, AZ 85304-1607 | 2020-10-20 |
| 1265039283 | Meghan Houston | Student in an Organized Health Care Education/Training Program | 3600 W Ray Rd Apt 2103, Chandler, AZ 85226-7719 | 2020-10-02 |
| 1992310312 | Jacob Richard Bromley | Student in an Organized Health Care Education/Training Program | 725 E Main St, Apt #1c, Somerton, AZ 85350 | 2020-09-11 |
| 1972118461 | Shanna Rae Begay | Student in an Organized Health Care Education/Training Program | 208 E Pine Knoll Drive Room 215 Building 66, Flagstaff, AZ 86011-0001 | 2020-09-10 |
| 1508470642 | Aisha J Ramirez-maya | Student in an Organized Health Care Education/Training Program | 5230 S 40th Pl, Phoenix, AZ 85040-3909 | 2020-09-05 |
| 1902410053 | Sanjhavi Agarwal | Student in an Organized Health Care Education/Training Program | 5850 E Still Cir Apt 2102, Mesa, AZ 85206-3618 | 2020-09-05 |
| 1003429846 | Krista Lyn Beerling | Student in an Organized Health Care Education/Training Program | 5827 E Indian School Rd, Phoenix, AZ 85018-6104 | 2020-08-30 |
| 1518570456 | Ashlyn Marie Herbert | Student in an Organized Health Care Education/Training Program | 2760 E Butler Ave, Flagstaff, AZ 86004-6001 | 2020-08-29 |
| Find all providers with the same taxonomy | ||||
| City | ORO VALLEY |
| Zip Code | 85737 |
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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.