JACQUELINE DURST


Address: 101 Braddock Rd, Frostburg State University Kinesiology Department, Frostburg, MD 21532-2303
Phone: 3016972801

JACQUELINE DURST (NPI# 1003203068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1003203068
Entity Type Individual
Full Name JACQUELINE DURST
Credential ATC, LAT
Practice Address 101 Braddock Rd
Frostburg State University Kinesiology Department
Frostburg
MD 21532-2303
Mailing Address 27 Frost Ave
Frostburg
MD 21532-1623
Practice Telephone 3016972801
Mailing Telephone 3016972801
Enumeration Date 2015-04-16
Last Update Date 2015-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207PS0010X Emergency Medicine
Specialization: Sports Medicine
A00192 MD Allopathic & Osteopathic Physicians

Office Location

Street Address 101 BRADDOCK RD
FROSTBURG STATE UNIVERSITY KINESIOLOGY DEPARTMENT
City FROSTBURG
State MD
Zip Code 21532-2303

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649264094 Anthony J Zaloga Specialist/Technologist 101 Braddock Rd, Frostburg State University, Frostburg, MD 21532-2303 2005-08-31
1174136485 Keyonna Mone Biggs Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-26
1588276299 Brooke Lafayette Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
1902418627 Jenneh Musu Kanu Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
1548872260 Sylvia Ann Watson Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
1457963175 Clayton Antonio Washington Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
1629680343 Katherine D Treff Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
1447862164 Daniel Jacob Bittinger Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
1659983369 Makayla Parris Specialist/Technologist 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
1558973263 Nache A King Student in an Organized Health Care Education/Training Program 101 Braddock Rd, Frostburg, MD 21532-2303 2020-08-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740709732 Kennedy Alxya Logsdon Specialist/Technologist 100 Dr. Gasmick Lane, Frostburg, MD 21532 2017-09-12
1699130419 Jessica Bittinger Occupational Therapy Assistant 1 Kaylor Circle, Frostburg, MD 21532 2015-12-21
1689013138 Kevin R Simonson Psychologist 101 Braddock Rd Frostburg State University, 101 Sand Spring Hall, Frostburg, MD 21532 2013-06-18
1114266897 Tara Renee Robison Physical Therapy Assistant One Kaylor Circle, Frostburg, MD 21532 2013-01-31
1821133703 Diane D Romaine Dentist 151 Bishop Murphy Drive, Frostburg, MD 21532 2007-02-20
1659610186 Shanalyn Michelle Reighard Physical Therapy Assistant One Kaylor Circle, Frostburg, MD 21532 2013-02-04
1639407133 Suanne Marie Lewis Psychologist 420 Crestview Dr, Frostburg, MD 21532-1100 2009-11-23
1265499016 Western Maryland Health System Corporation Skilled Nursing Facility 48 Tarn Ter, Frostburg, MD 21532-1217 2006-04-26
1669545810 Dean Andrew Mulcaster Physical Therapy Assistant 48 Tarn Ter, Frostburg, MD 21532-1217 2006-11-16
1922647486 Axis Health At Frostburg Opco LLC Skilled Nursing Facility 48 Tarn Ter, Frostburg, MD 21532-1242 2020-01-02
Find all providers in zip 21532

Taxonomy Information

Taxonomy Code 207PS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Emergency Medicine
Specialization Sports Medicine

Taxonomy Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053760256 Christine Safrit Emergency Medicine 222 Newport Dr, Severna Park, MD 21146-1326 2016-06-08
1639528839 Rachel Shanks Emergency Medicine 911 Crystal Spring Farm Rd, Annapolis, MD 21403-1001 2016-06-08
1417426867 Kelsey Ayne Boulier Emergency Medicine 2900 S Hanover St, Baltimore, MD 21225-1232 2018-11-15
1063993889 Bailey E Lewis Emergency Medicine 566 Brownson Rd, Annapolis, MD 21402-5006 2018-08-29
1134380702 Edward Joseph Kimlin Emergency Medicine 11915 Georgia Ave, Wheaton, MD 20902-2065 2008-06-17

Competitor

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City FROSTBURG
Zip Code 21532

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Dataset Information

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.

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