Individual provider Active NPI

Konstantin R. Kuschnir, MD

  • Orthopaedic Surgery Physician
  • Brunswick, OH
National Provider Identifier
1124102173
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35.037580 Issued in OH
Practice address
1212 Pearl Rd
Brunswick, OH 44212-5409
Phone
(330) 225-0404
Fax
(330) 225-8960
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

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
Orthopaedic Surgery Physician 207X00000X 35.037580 OH Primary

Addresses

Primary practice location

1212 Pearl Rd
Brunswick, OH 44212-5409

Mailing address

1212 Pearl Rd
Brunswick, OH 44212-5409
Phone (330) 225-0404

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

State licenses

LicenseStateTypeSpecialty
35.037580OHMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124102173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125409",
            "telephone_number": "330-225-0404",
            "fax_number": "330-225-8960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 PEARL RD",
            "city": "BRUNSWICK",
            "state": "OH",
            "postal_code": "442125409",
            "telephone_number": "330-225-0404",
            "fax_number": "330-225-8960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSCHNIR",
        "first_name": "KONSTANTIN",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35.037580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.