Organization Active NPI

Kartzinel Wellness Center 2 PA

  • Pediatric Neurodevelopmental Disabilities Physician
  • Jackson, TN
National Provider Identifier
1285024901
Registry record updated Jul 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Neurodevelopmental Disabilities PhysicianTaxonomy code 2080P0008X
Legal business name
KARTZINEL WELLNESS CENTER 2 PA
Practice address
174 Murray Guard Dr Ste C
Jackson, TN 38305-3742
Phone
(949) 398-7654
Fax
(949) 407-6788
NPI assigned
Feb 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2022

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

Authorized official

Name
David Kartzinel
Title
Office Manager
Phone
(949) 398-7654

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X
Pediatric Neurodevelopmental Disabilities PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080P0008X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

174 Murray Guard Dr Ste C
Jackson, TN 38305-3742

Mailing address

174 Murray Guard Dr Ste C
Jackson, TN 38305-3742
Phone (949) 398-7654

Other practice location 1

125 Terra Mango Loop Ste B
Orlando, FL 32835-8507
Phone (949) 398-7654

Other names 1

  • Kartzinel Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

125 Terra Mango Loop
Orlando, FL 32835

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657152000000",
    "number": "1285024901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "174 MURRAY GUARD DR STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053742",
            "telephone_number": "949-398-7654",
            "fax_number": "949-407-6788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 MURRAY GUARD DR STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053742",
            "telephone_number": "949-398-7654",
            "fax_number": "949-407-6788"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Terra Mango Loop Ste B",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328358507",
            "country_code": "US",
            "telephone_number": "949-398-7654",
            "fax_number": "949-407-6788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KARTZINEL WELLNESS CENTER 2 PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A",
        "authorized_official_last_name": "KARTZINEL",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "949-398-7654"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kartzinel Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.