Individual provider Active NPI

Kurt A Buzard, M.D.

  • Ophthalmology Physician
  • Henderson, NV
National Provider Identifier
1083681209
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5431 Issued in NV
Practice address
2657 Windmill Pkwy Ste 140
Henderson, NV 89074-3384
Phone
(702) 738-2015
Fax
(702) 454-0484
NPI assigned
Mar 7, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5431 NV Primary

Addresses

Primary practice location

2657 Windmill Pkwy Ste 140
Henderson, NV 89074-3384

Mailing address

2657 Windmill Pkwy Ste 140
Henderson, NV 89074-3384
Phone (702) 738-2015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shadow Mountain Surgery Center PastSince Feb 28, 2001 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1141689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1083681209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2657 WINDMILL PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-738-2015",
            "fax_number": "702-454-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2657 WINDMILL PKWY STE 140",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743384",
            "telephone_number": "702-738-2015",
            "fax_number": "702-454-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUZARD",
        "first_name": "KURT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-07",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NV",
            "license": "5431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.