Frank D Kuitems MD PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

FRANK D KUITEMS MD PC

Practice address

130 N Gross Road
Suite 125
Kingsland, GA 31548-6263

Phone

(912) 227-8653

Fax

(912) 882-9493

NPI assigned

Mar 5, 2008

Last updated

Jun 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Frank D Kuitems, M.D.

Title

Owner

Phone

(912) 227-8653

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1215107396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 S FLETCHER AVE",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344534",
            "telephone_number": "904-477-6525",
            "fax_number": "912-882-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GROSS ROAD",
            "address_2": "SUITE 125",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486263",
            "telephone_number": "912-227-8653",
            "fax_number": "912-882-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK D KUITEMS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "KUITEMS",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-227-8653",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00302585B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.