Individual provider Active NPI

Kathryn D Hurvitz, PA

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1205804648
Registry record updated Jul 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA101560 Issued in FL
Practice address
3333 Cattlemen Rd
Suite 210
Sarasota, FL 34232-6056
Phone
(941) 371-3337
Fax
(941) 379-3011
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA101560 FL Primary

Addresses

Primary practice location

3333 Cattlemen Rd
Suite 210
Sarasota, FL 34232-6056

Mailing address

3333 Cattlemen Rd
Suite 210
Sarasota, FL 34232-6056
Phone (941) 371-3337

Other names 1

  • Kathryn Dougherty Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230518002641 FL Order and Referring Only - Physician Assistant 3678765963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA101560FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pride Emergency Physicians LLC Past Accepting new patients
Emergency Physician Specialists Inc Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405296000000",
    "number": "1205804648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD",
            "address_2": "SUITE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326056",
            "telephone_number": "941-371-3337",
            "fax_number": "941-379-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 CATTLEMEN RD",
            "address_2": "SUITE 210",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326056",
            "telephone_number": "941-371-3337",
            "fax_number": "941-379-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURVITZ",
        "first_name": "KATHRYN",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2014-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA101560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "DOUGHERTY",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.