Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1225707466 Individual Practitioner Female Practitioner

Madison D Durham , PA

Physician Assistant • Lockport, NY

Professional Overview & Biography Verified Profile Summary

Madison Durham, PA is a registered healthcare professional specializing in Physician Assistant in Lockport, NY. Practice services are available at 38 HERITAGE CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

38 Heritage Ct

Lockport, NY 140943616

Telephone 7169869199
Fax 7163041044
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Lockport, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 6.1 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Lockport, NY (15701 Statewide)

Telehealth Adoption Rate
10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 031185

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA BG61193134

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA61187385

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
2188015 (WA)

Secondary Practice Locations

34 Benwood Ave

Buffalo, NY 142141761

Phone: 1679869199

3 Brompton Woods

Buffalo, NY 142215932

Phone: 7167831832

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1003222092

Doctor of Medicine (M.D.)

Dr. Ahmad Mafi , DO

Internal Medicine

NPI 1003312455

Doctor of Osteopathic Medicine (D.O.)

Dr. Kirk Scirto , MD

Family Medicine

NPI 1023031200

Doctor of Medicine (M.D.)

NPI 1033833710

Doctor of Philosophy (Ph.D.)

NPI 1053076992

Master of Social Work

Samantha Meierer

Physician Assistant

NPI 1063361293

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location January 29, 2024

Registered at 38 HERITAGE CT, LOCKPORT, NY 140943616 (Tel: 7169869199)

👤
Provider Name / Credentials Updated November 12, 2023

Recorded as MADISON DURHAM, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2023

Physician Assistant

NPI Profile Active September 10, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 10, 2021

Registered at 1806 W LINCOLN AVE, YAKIMA, WA 989022473 (Tel: 5094524520)

📍
Updated Business Mailing Address September 10, 2021

Registered at 501 S 5TH AVE, YAKIMA, WA 989023550 (Tel: 5098531082)

👤
Provider Name / Credentials Updated September 10, 2021

Recorded as MADISON VERRALL, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 10, 2021

Physician Assistant (License #BG61193134 in WA)

🟢
Initial NPI Registration & Enumeration September 10, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225707466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2021
Last Update: January 29, 2024
Sole Proprietor: No

Mailing Address

501 S 5th Ave

Yakima, WA 989023550

Phone: 5098531082

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.