Individual provider Active NPI

Howard M Kurtzman, M.D.

  • Psychiatry Physician
  • Charleston, SC
National Provider Identifier
1205030558
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
16275 Issued in SC
Practice address
27 Gamecock Ave # 203
Charleston, SC 29407-3369
Phone
(843) 852-9005
Fax
(843) 852-9080
NPI assigned
Jun 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 16275 SC Primary

Addresses

Primary practice location

27 Gamecock Ave # 203
Charleston, SC 29407-3369

Mailing address

27 Gamecock Ave # 203
Charleston, SC 29407-3369
Phone (843) 852-9005

Other identifiers 1

IdentifierTypeStateIssuer
54765OtherSCCIGNA

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
16275SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard M. Kurtaman, M.D., P.a. Psychiatry Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285804800000",
    "number": "1205030558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE # 203",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073369",
            "telephone_number": "843-852-9005",
            "fax_number": "843-852-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 GAMECOCK AVE # 203",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294073369",
            "telephone_number": "843-852-9005",
            "fax_number": "843-852-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZMAN",
        "first_name": "HOWARD",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-12",
        "last_updated": "2010-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "16275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "54765",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2010; 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.