David A Kutlick, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

OH-36-00-1819-K Issued in OH

Practice address

15700 State Route 170
Suite B
East Liverpool, OH 43920-9657

Phone

(330) 385-2227

Fax

(330) 385-4242

NPI assigned

Jul 12, 2005

Reactivated

Mar 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1154329225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 STATE ROUTE 170",
            "address_2": "SUITE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209657",
            "telephone_number": "330-385-2227",
            "fax_number": "330-385-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 STATE ROUTE 170",
            "address_2": "SUITE B",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209657",
            "telephone_number": "330-385-2227",
            "fax_number": "330-385-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTLICK",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-12",
        "last_updated": "2011-07-21",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OH",
            "license": "OH-36-00-1819-K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360961",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hollie Kosek
• Kara Kovach
• Tiffany Krise, PSY.D
• Tim Krizan, PTA
• Daniel Edward Kubala, DPM
• Daniel Kutt, LPC
• Amber Lynn Lacey, CDCA
• Kenneth Edward Lahr, M.S.,C.C.C.L.S.P.
• Sarah Laite, LISW
• Rebecca Ruth Lang

• Primary Podiatric Medicine Podiatrist in East Liverpool, OH
• Providers in East Liverpool, OH by specialty
• Primary Podiatric Medicine Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; 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.