JOHN RAYMOND DURANT (NPI# 1790717858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790717858 |
| Entity Type | Individual |
| Full Name | JOHN RAYMOND DURANT |
| Credential | MD |
| Practice Address |
301 Mariarden Rd Ste D Dadeville AL 36853-0129 |
| Mailing Address |
Po Box 129 Dadeville AL 36853-0129 |
| Practice Telephone | 2568257871 |
| Practice Fax Number | 2568255742 |
| Mailing Telephone | 2568257871 |
| Mailing Fax Number | 2568255742 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 19640 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 543420001 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902303852 | John Ashton Durant | Dentist | 29 Bee Street, Charleston, SC 29424-0001 | 2018-04-08 |
| Street Address |
301 MARIARDEN RD STE D |
| City | DADEVILLE |
| State | AL |
| Zip Code | 36853-0129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929742 | Kimberly A Robertson | Nurse Practitioner | 301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254 | 2005-08-12 |
| 1508314865 | Cathy Pitts | Nurse Practitioner | 301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254 | 2016-09-15 |
| 1194278614 | Ivy Creek of Tallapoosa | Clinic/Center | 301 Mariarden Rd, Dadeville, AL 36853-6254 | 2016-08-02 |
| 1912359100 | Brian Heath Daniel | Nurse Practitioner | 301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254 | 2016-07-12 |
| 1780036426 | April Dye I | Nurse Practitioner | 301 Mariarden Rd, Suite B, Dadeville, AL 36853-6254 | 2016-07-06 |
| 1952634248 | Laura R Daniel | Nurse Practitioner | 301 Mariarden Rd, Dadeville, AL 36853-6254 | 2009-09-17 |
| 1225211709 | Ivy Creek of Tallapoosa LLC | Home Health | 301 Mariarden Rd, Suite F, Dadeville, AL 36853-6254 | 2007-12-07 |
| 1952407215 | Lake Martin Pharmacy | Pharmacy | 301 Mariarden Rd, Suite A, Dadeville, AL 36853-6254 | 2006-09-15 |
| 1164538203 | Robert William Bartel | General Practice | 301 Mariarden Rd, Dadeville, AL 36853-0129 | 2006-08-22 |
| 1598797656 | Barbara Wilder | Nurse Practitioner | 301 Mariarden Rd, Dadeville, AL 36853-6254 | 2006-07-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528378197 | Ivy Creek Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 201 Mariarden Road, Dadeville, AL 36853 | 2010-10-18 |
| 1912125535 | Casey Turner | Pharmacist | 459 North Broadnax Street, Dadeville, AL 36853 | 2007-04-20 |
| 1053467100 | Anthony Leon Nix | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-01-25 |
| 1407879083 | Karen J Mockler | Family Medicine | 1034 South Tallassee Street, Dadeville, AL 36853 | 2006-07-25 |
| 1902947336 | Frank Langley Pearson | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-02-09 |
| 1194871251 | Pamela Bass Gam | Pharmacist | 221 E South Street, Dadeville, AL 36853 | 2007-01-25 |
| 1124298351 | State of Alabama | Public Health or Welfare | 535 N Broadnax St, Dadeville, AL 36853-0100 | 2008-03-04 |
| 1740487610 | Tallapoosa County | Local Education Agency (LEA) | 125 N Broadnax St, Dadeville, AL 36853-1318 | 2007-07-02 |
| 1659301174 | Frances Kahanec Bartel | Family Medicine | 139 E Lafayette St, Dadeville, AL 36853-1322 | 2006-07-03 |
| 1790803690 | Robert Wm Bartel Mdpc | Family Medicine | 139 E Lafayette St, Dadeville, AL 36853-1322 | 2007-03-27 |
| Find all providers in zip 36853 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755577 | Ivy Creek Prevention Center LLC | General Practice | 2129 Moonbrook Dr, Dadeville, AL 36853-5640 | 2015-07-10 |
| 1164538203 | Robert William Bartel | General Practice | 301 Mariarden Rd, Dadeville, AL 36853-0129 | 2006-08-22 |
| 1871525931 | Robert Alan Schuster | General Practice | 301 Mariarden Rd, Ste D, Dadeville, AL 36853-0129 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624097 | Kyle Rolfe | General Practice | 1962 Schillinger Rd S, Mobile, AL 36695-4118 | 2020-06-24 |
| 1497390447 | Dw Mcmillan Memorial Hospital | General Practice | 1311 Mcmillan Ave, Brewton, AL 36426-1324 | 2019-11-14 |
| 1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
| 1528561974 | Stephen David Thrasher | General Practice | 2215 California St Se, Huntsville, AL 35801-2706 | 2018-03-12 |
| 1487170031 | Premier Medical Housecall, LLC | General Practice | 173 Cahaba Valley Pkwy, Pelham, AL 35124-1144 | 2017-08-16 |
| 1336662287 | Center Point Medical LLC | General Practice | 151 Woodham Dr, Albertville, AL 35951-3301 | 2017-07-24 |
| 1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
| 1710438502 | Homewood Family Wellcare LLC | General Practice | 1 Independence Plz Ste 410, Homewood, AL 35209-2648 | 2016-10-17 |
| 1750837068 | Michelle R. Grana, Do; PC | General Practice | 470 Providence Main St Nw Ste 302a, Huntsville, AL 35806-4843 | 2016-08-27 |
| 1073964979 | Taurin Pyongkap Lee | General Practice | 2713 Downing St, Huntsville, AL 35801 | 2016-06-22 |
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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.