Michael Q Durry (NPI# 1255319950, PAC ID# 3375529845) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1255319950 |
| PAC ID by PECOS | 3375529845 |
| Professional Enrollment ID | I20051219000802 |
| Full Name | Michael Q Durry |
| Organization Legal Name | SUYI PARK MD AND ASSOCIATES PA |
| Address |
700 Washington Blvd Baltimore MD 21230-2350 |
| Phone Number | 4102259696 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | GENERAL PRACTICE |
| Group Practice PAC ID | 2062478159 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 210013 | BON SECOURS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 300 Armory Pl, Suite 2m, Baltimore, MD 21201-4603 | 4102258615 | JUST HEART CARDIOVASCULAR GROUP INC. |
| 700 Washington Blvd, Baltimore, MD 21230-2350 | 4102259696 | SUYI PARK MD AND ASSOCIATES PA |
| Organization Legal Name | SUYI PARK MD AND ASSOCIATES PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samson Arigbamu | Nurse Practitioner | Suyi Park Md and Associates Pa | 700 Washington Blvd, Baltimore, MD 21230-2350 |
| Victoria O Titus | Nurse Practitioner | Suyi Park Md and Associates Pa | 700 Washington Blvd, Baltimore, MD 21230-2350 |
| Suyi S Park | Internal Medicine | Suyi Park Md and Associates Pa | 700 Washington Blvd, Baltimore, MD 21230-2350 |
| Street Address |
700 WASHINGTON BLVD |
| City | BALTIMORE |
| State | MD |
| Zip | 21230-2350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Samson Arigbamu | Nurse Practitioner | Suyi Park Md and Associates Pa | 700 Washington Blvd, Baltimore, MD 21230-2350 |
| Victoria O Titus | Nurse Practitioner | Suyi Park Md and Associates Pa | 700 Washington Blvd, Baltimore, MD 21230-2350 |
| Suyi S Park | Internal Medicine | Suyi Park Md and Associates Pa | 700 Washington Blvd, Baltimore, MD 21230-2350 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julia A Mitchell | Clinical Social Worker | 609 S Sharp St, Baltimore, MD 21230-0075 | |
| Danielle L Brown | Family Practice | Total Health Care Inc | 1111 Washington Blvd, Baltimore, MD 21230-1824 |
| Adebowale Adedayo Popoola | Psychiatry | Evergreen Mental Health Services, Inc | 1645 Ridgely St, Suite 100, Baltimore, MD 21230-2050 |
| Vivian Archibong | Clinical Social Worker | Urban Behavioral Associates Pa | 700 Washington Boulevard, Baltimore, MD 21230-2350 |
| Didi G Bailey | Psychiatry | Urban Behavioral Associates Pa | 700 Washington Boulevard, Baltimore, MD 21230-2350 |
| Annelle B Primm | Psychiatry | Urban Behavioral Associates Pa | 700 Washington Boulevard, Baltimore, MD 21230-2350 |
| Johanna Paulino-woolridge | Psychiatry | Urban Behavioral Associates Pa | 700 Washington Boulevard, Baltimore, MD 21230-2350 |
| David G Burdette | Clinical Social Worker | Urban Behavioral Associates Pa | 700 Washington Boulevard, Baltimore, MD 21230-2350 |
| Inder Singh | General Practice | 2301 Annapolis Rd, Baltimore, MD 21230-3101 | |
| Marc Posner | Family Medicine | 1147 S Hanover St, Baltimore, MD 21230-3717 | |
| Find all physicians in zip 21230 | |||
| City | BALTIMORE |
| Zip Code | 21230 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BALTIMORE + GENERAL SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.