AMY DURAKO


Address: 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034
Phone: 2177880706

AMY DURAKO (NPI# 1871987750) 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) 1871987750
Entity Type Individual
Full Name AMY DURAKO
Practice Address 619 E Mason St
Suite 4p57
Springfield
IL 62701-1034
Practice Telephone 2177880706
Practice Fax Number 2175252535
Mailing Telephone 2177880706
Mailing Fax Number 2175252535
Enumeration Date 2015-03-27
Last Update Date 2019-10-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) 209-012663 IL Allopathic & Osteopathic Physicians
Y 363L00000X Nurse Practitioner 209012663 IL Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL RAILROAD P01534355 01

Office Location

Street Address 619 E MASON ST
SUITE 4P57
City SPRINGFIELD
State IL
Zip Code 62701-1034

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033190814 Carl E Arentzen Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St, Suite 3p25, Springfield, IL 62701-1034 2005-11-09
1669913349 Laura Grubb Internal Medicine 619 E Mason St, Ste. 4p57, Springfield, IL 62701-1034 2017-03-15
1265974604 Julie Borjon Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-11-16
1912358565 Meleah Vaughan Nurse Practitioner 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-06-24
1508225616 Margaret Jordan Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2016-02-17
1487011144 Shauna Vogler Internal Medicine 619 E Mason St, Springfield, IL 62701-1034 2016-01-25
1215333604 Meredith Fleming Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2014-11-12
1154623585 Margie Douglas Nurse Practitioner 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2010-11-17
1326378175 Angela K. Lafrenz Internal Medicine 619 E Mason St, Suite 4p57, Springfield, IL 62701-1034 2009-12-29
1922249895 Nancy Kean Chatham Internal Medicine 619 E Mason St, Prairie Heart Institute, Springfield, IL 62701-1034 2009-03-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932687183 Affinity Patient Coordination LLC In Home Supportive Care 217 E Monroe St Ste 102, Springfield, IL 62701 2018-07-31
1427498435 Donald L Jacoby Pharmacist 701 N. First St., Springfield, IL 62701 2013-07-05
1700183480 Erin Zepp Dietitian, Registered 319 E Madison St Ste 1f, Springfield, IL 62701 2011-02-16
1518117159 Jyoti Assudani Pediatrics 301 N 8th Street, Springfield, IL 62701 2008-09-19
1396924148 Jeanne Lyn Malone Counselor 408 South Fifth Street, Springfield, IL 62701 2007-10-29
1942422928 Nobuharu Harada Family Medicine 301 N 8th, Pav-3a158, Springfield, IL 62701 2007-05-02
1427131127 Radiological Associates of Decatur Radiology 319 E Madison Suite J, Springfield Mri & Imaging Center, Springfield, IL 62701 2006-10-24
1669498606 Independence Holding Co LLC Pharmacy 201 North 5th Street, Springfield, IL 62701 2006-07-14
1720070238 Neil J. Thomas Thoracic Surgery (Cardiothoracic Vascular Surgery) 619 E Mason St Ste 4p57, Springfield, IL 62701 2005-08-19
1588187397 Andrea Nicole Bloodworth Internal Medicine 619 E Mason St Ste 4p57, Springfield, IL 62701 2017-07-24
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578178422 Behishta Ishanzai Nurse Practitioner 7500 Geoint Dr, Springfield, VA 22150-7500 2020-09-08
1790393049 Kathy Forson Nurse Practitioner 1235 E. Cherokee St., Springfield, MO 65804 2020-07-22
1255951331 Bryndi Raye Shirley Nurse Practitioner 1636 S Glenstone Ave Ste 100, Springfield, MO 65804-1527 2020-04-20
1750900379 Gemma Nicole D'angelo Nurse Practitioner 996 Stoneybrook Dr, Springfield, PA 19064-3829 2020-04-14
1629607882 Melanie Herrin Nurse Practitioner 6230 Rolling Rd Ste J, Springfield, VA 22152-2326 2020-04-08
1871133520 Deborah Ann Tully Nurse Practitioner 2 Medical Center Dr Ste 202, Springfield, MA 01107-1272 2020-01-10
1932759651 Amanda Couchon Nurse Practitioner 759 Chestnut St Radiology Department, Springfield, MA 01199-0001 2019-09-14
1760947410 Andrea K Leger Nurse Practitioner 300 Birnie Ave Ste 102, Springfield, MA 01107-1375 2019-02-07
1417421579 Stephanie M Yeager Nurse Practitioner 3850 S National Ave Ste 700, Springfield, MO 65807-5292 2019-01-11
1215415799 Bree Schmulbach Nurse Practitioner Bsb Room 20, Springfield, IL 62703 2018-08-06
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Competitor

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City SPRINGFIELD
Zip Code 62701

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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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