MR. JAMES BRENDAN DURKIN (NPI# 1629189188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629189188 |
| Entity Type | Individual |
| Full Name | MR. JAMES BRENDAN DURKIN |
| Credential | M.D. |
| Practice Address |
305 Grady Rd Suite A Etowah TN 37331-1903 |
| Practice Telephone | 4232634500 |
| Practice Fax Number | 4232630045 |
| Mailing Telephone | 4232634500 |
| Mailing Fax Number | 4232630045 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | M36878 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BCBS | 4051202 | 01 |
| TN | AETNA | 7892455 | 01 |
| TN | RR MEDICARE | P00092170 | 01 |
| TN | CIGNA | 2308972 | 01 |
| TN | 3880122 | 05 | |
| TN | UHC/JD | TN0101 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669027512 | James John Durkin | Counselor | 1262 Wood Ln Ste 102, Langhorne, PA 19047-4250 | 2019-08-07 |
| 1972741486 | James Joseph Durkin | Hearing Instrument Specialist | 1415 Panther Ln, Naples, FL 34109 | 2009-01-22 |
| 1396839106 | James Patrick Durkin II | Psychiatry & Neurology | 175 Gwinnett Dr, Lawrenceville, GA 30045-8444 | 2006-10-03 |
| Street Address |
305 GRADY RD SUITE A |
| City | ETOWAH |
| State | TN |
| Zip Code | 37331-1903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126392 | Timothy James Collins | Family Medicine | 305 Grady Rd, Suite B, Etowah, TN 37331-1903 | 2005-10-04 |
| 1700913365 | Etowah Family Practice Plc | Family Medicine | 305 Grady Rd, Suite A, Etowah, TN 37331-1903 | 2007-02-28 |
| 1003929472 | Donald H. Watters | Family Medicine | 305 Grady Rd, Ste A, Etowah, TN 37331-1903 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083081277 | K Va T Food Stores, Inc | Durable Medical Equipment & Medical Supplies | 841 Us 411 North, Etowah, TN 37331 | 2015-08-24 |
| 1891979969 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 410 Grady Road, Etowah, TN 37331 | 2007-12-24 |
| 1992835037 | Jarrett Swafford | Pharmacist | 733 Lawrence St, Etowah, TN 37331 | 2007-03-07 |
| 1982750402 | Yung Gil Lee | General Practice | 315 Grady Rd, Etowah, TN 37331 | 2007-01-26 |
| 1770636227 | Freds Stores of Tennessee Inc | Durable Medical Equipment & Medical Supplies | 733 Lawrence Street, Etowah, TN 37331 | 2007-01-19 |
| 1356499172 | Tennessee Cancer Specialists, Pllc | Internal Medicine | Highway 411 North, Etowah, TN 37331 | 2007-01-08 |
| 1831265941 | Charles David Brown | Dentist | 920 Highway 411 North, Etowah, TN 37331 | 2006-11-28 |
| 1326066788 | Jeffrey Allan Anderson | Pharmacist | 725 Tennessee Ave, Etowah, TN 37331 | 2006-07-17 |
| 1316920135 | Air Evac Ems Inc | Ambulance | 100 Robinson St, Etowah, TN 37331 | 2005-11-25 |
| 1134185358 | Nathan Craig Trentham | Internal Medicine | 301 Grady Road, Etowah, TN 37331-0325 | 2006-04-25 |
| Find all providers in zip 37331 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639699044 | Athens Physicians Practice LLC | Family Medicine | 305 Grady Rd Ste B, Etowah, TN 37331-1903 | 2017-06-27 |
| 1568532729 | Donald Edward Jablonski | Family Medicine | 2 Etowah School Road, Etowah, NC 28729-1925 | 2006-11-08 |
| 1235126392 | Timothy James Collins | Family Medicine | 305 Grady Rd, Suite B, Etowah, TN 37331-1903 | 2005-10-04 |
| 1568469260 | Thomas Wolford Williams | Family Medicine | 745 Topside Dr, Etowah, TN 37331-1839 | 2005-07-07 |
| 1730542309 | Athens Physicians Practice, LLC | Family Medicine | 886 Highway 411 N, Suite A, Etowah, TN 37331-1912 | 2016-03-31 |
| 1790099927 | Pardee Hendersonville Family Health Center-etowah | Family Medicine | 6503 Brevard Rd, Etowah, NC 28729-8739 | 2010-07-29 |
| 1265627574 | Elizabeth Saft | Family Medicine | 6503 Brevard Rd, Etowah, NC 28729 | 2007-09-10 |
| 1700913365 | Etowah Family Practice Plc | Family Medicine | 305 Grady Rd, Suite A, Etowah, TN 37331-1903 | 2007-02-28 |
| 1285738468 | Toikus Z Westbrook | Family Medicine | 886 Highway 411 N, Etowah, TN 37331-1912 | 2006-09-11 |
| 1003929472 | Donald H. Watters | Family Medicine | 305 Grady Rd, Ste A, Etowah, TN 37331-1903 | 2006-08-17 |
| Find all providers in ETOWAH | ||||
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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.