Organization Active NPI

WTN GW Courtwright

  • Podiatrist
  • Hollywood, FL
National Provider Identifier
1154520500
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
G44886 Issued in CA
Legal business name
WTN GW COURTWRIGHT
Practice address
3440 Hollywood Blvd
Suite 460
Hollywood, FL 33021-6927
Phone
(954) 923-7440
Fax
(954) 923-1299
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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

Authorized official

Name
Dr. G William Courtright, MD
Title
Provider
Phone
(954) 614-3373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X G44886 CA Primary

Addresses

Primary practice location

3440 Hollywood Blvd
Suite 460
Hollywood, FL 33021-6927

Mailing address

3440 Hollywood Blvd
Suite 460
Hollywood, FL 33021-6927
Phone (954) 923-7440

Other identifiers 1

IdentifierTypeStateIssuer
G44886OtherCASTATE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Wound Technology Network2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184544000000",
    "number": "1154520500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD",
            "address_2": "SUITE 460",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216927",
            "telephone_number": "954-923-7440",
            "fax_number": "954-923-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 HOLLYWOOD BLVD",
            "address_2": "SUITE 460",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330216927",
            "telephone_number": "954-923-7440",
            "fax_number": "954-923-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WTN GW COURTWRIGHT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2007-07-16",
        "status": "A",
        "authorized_official_last_name": "COURTRIGHT",
        "authorized_official_first_name": "G WILLIAM",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "954-614-3373",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "G44886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G44886",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.