MR. JOHN DUDLEY DUROSS (NPI# 1083917355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083917355 |
| Entity Type | Individual |
| Full Name | MR. JOHN DUDLEY DUROSS |
| Credential | PA-C |
| Practice Address |
5121 South Cottonwood Street Murray UT 84157 |
| Mailing Address |
520 Crestview Dr Park City UT 84098-5127 |
| Practice Telephone | 8015076698 |
| Mailing Telephone | 8019106844 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
7821385-1206 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5121 SOUTH COTTONWOOD STREET |
| City | MURRAY |
| State | UT |
| Zip Code | 84157 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770755977 | Cheryl Anne Demille | Registered Nurse | 5121 South Cottonwood Street, Murray, UT 84157-7000 | 2008-03-27 |
| 1588868079 | Stephen Badger | Anesthesiology | 5121 South Cottonwood Street, Intermountain Medical Center, Murray, UT 84157 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831691393 | Sandra Lee Stoker | Nurse Practitioner | Intermountain Medical Center - Ricu, 5121 S. Cottonwood St., Bldg. 5, Level 5, Murray, UT 84157 | 2018-03-01 |
| 1447425897 | Jennifer Abigale Jurynec | Nurse Practitioner | 5121 South Cottonwood St., Murray, UT 84157 | 2008-04-28 |
| 1144415282 | Corwin Q Edwards | Internal Medicine | 5121 S Cottonwood Dr, Salt Lake City, UT 84157 | 2007-09-12 |
| 1891819843 | Warren Lewis Butterfield | Orthopaedic Surgery | 5169 South Cottonwood Street, Suite 430, Murray, UT 84157 | 2007-03-16 |
| 1033211776 | Ida Ripley | Advanced Practice Midwife | 5161 S Cottonwood St, Ste 130, Murray, UT 84157 | 2006-09-02 |
| 1245262229 | Elizabeth Demos Nicholson | Emergency Medicine | 5121 S. Cottonwood Street, Salt Lake City, UT 84157 | 2006-07-07 |
| 1154313690 | Steven M Scott | Orthopaedic Surgery | 5169 S Cottonwood St, Ste 430, Slc, UT 84157 | 2005-08-19 |
| 1619341278 | James Bokinskie II | Physical Therapist | 5121 Cottonwood Street, Murray, UT 84157 | 2015-11-19 |
| 1942501168 | John Miller | Physical Therapy Assistant | 5121 Cottonwood St, Murray, UT 84157 | 2010-11-04 |
| 1902032295 | Eliza Boyer Johnson | Emergency Medicine | 5121 S. Cottonwood St., Intermountain Medical Center, Murray, UT 84157 | 2009-06-01 |
| Find all providers in zip 84157 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891230041 | Sarah Danielle Mendenhall | Physician Assistant | 5169 S Cottonwood St Ste 600, Murray, UT 84107-6771 | 2016-12-26 |
| 1982869210 | Scott D Taylor | Physician Assistant | 5323 Woodrow St Ste 102, Murray, UT 84107-5853 | 2008-07-25 |
| 1528052289 | Mccall Fagan | Physician Assistant | 5323 South Woodrow Street, Suite 200, Murray, UT 84107 | 2005-09-08 |
| 1154315521 | Lorie Lee | Physician Assistant | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2005-08-31 |
| 1366877029 | Robert Chad Bannon | Physician Assistant | 5121 S Cottonwood St, Ste 950, Murray, UT 84107-5701 | 2013-09-12 |
| 1295071801 | Jason Holden | Physician Assistant | 5848 S Fashion Blvd, Murray, UT 84107-6121 | 2012-12-31 |
| 1154639276 | Kristi Reinschmidt | Physician Assistant | 5169 Cottonwood St, Suite 320, Murray, UT 84107-6767 | 2010-09-23 |
| 1568773935 | Amanda Dunn | Physician Assistant | 5770 S 250 E Ste 285, Murray, UT 84107-8194 | 2010-06-30 |
| 1821240243 | Joseph Lawrence Sartori | Physician Assistant | 5444 Green St, Murray, UT 84123-5632 | 2008-10-16 |
| 1710098058 | James G Rowley | Physician Assistant | 5848 Fashion Blvd, Murray, UT 84107-6121 | 2006-08-31 |
| Find all providers in MURRAY | ||||
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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.