Organization Active NPI

H. T. Kurkjian MD Inc

  • Urology Physician
  • Oklahoma City, OK
National Provider Identifier
1003092578
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
10422 Issued in OK
Legal business name
H. T. KURKJIAN MD INC
Practice address
4200 W Memorial Rd
Suite 713
Oklahoma City, OK 73120-9350
Phone
(405) 755-2780
Fax
(405) 608-0234
NPI assigned
Jan 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. H T Kurkjian, MD
Title
Physician
Phone
(405) 755-2780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 10422 OK Primary

Addresses

Primary practice location

4200 W Memorial Rd
Suite 713
Oklahoma City, OK 73120-9350

Mailing address

4200 W Memorial Rd
Suite 713
Oklahoma City, OK 73120-9350
Phone (405) 755-2780

Other identifiers 1

IdentifierTypeStateIssuer
1110422MedicaidOK

National Provider Directory

National Provider Directory

Locations

105 S Bryant Ave
Ste 303
Edmond, OK 73034
Phone (405) 348-6130

4200 W Memorial Rd
Ste 713
Oklahoma City, OK 73120
Phone (405) 755-2780

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1003092578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 713",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-755-2780",
            "fax_number": "405-608-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W MEMORIAL RD",
            "address_2": "SUITE 713",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731209350",
            "telephone_number": "405-755-2780",
            "fax_number": "405-608-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. T. KURKJIAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KURKJIAN",
        "authorized_official_first_name": "H",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "405-755-2780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OK",
            "license": "10422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1110422",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.