Individual provider Active NPI

Thomas L Kurt, MD MPH MASTERS IN PU

  • Medical Toxicology (Preventive Medicine) Physician
  • Aspen, CO
National Provider Identifier
1023133246
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Toxicology (Preventive Medicine) PhysicianTaxonomy code 2083T0002X
License
15157 Issued in CO
Practice address
1375 Riverside Drive
Aspen, CO 81612
Phone
(970) 925-6648
Fax
(970) 925-9432
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Toxicology (Preventive Medicine) Physician 2083T0002X 15157 CO Primary

Addresses

Primary practice location

1375 Riverside Drive
Aspen, CO 81612

Mailing address

PO Box 7977
1375 Riverside Drive
Aspen, CO 81612
Phone (970) 925-6648

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150421000454 CO Order and Referring Only - Preventive MedicinePractitioner - Preventive Medicine 6406174515

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15157COMDMedical Toxicology (Preventive Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023133246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7977",
            "address_2": "1375 RIVERSIDE DRIVE",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81612",
            "telephone_number": "970-925-6648",
            "fax_number": "970-925-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 RIVERSIDE DRIVE",
            "city": "ASPEN",
            "state": "CO",
            "postal_code": "81612",
            "telephone_number": "970-925-6648",
            "fax_number": "970-925-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURT",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD MPH MASTERS IN PU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083T0002X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Medical Toxicology",
            "state": "CO",
            "license": "15157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aspen, CO

Sources for this page

Verify at the official NPI Registry.