Active NPI
Kartzinel Wellness Center 2 PA
- Pediatric Neurodevelopmental Disabilities Physician
- Jackson, TN
National Provider Identifier
1285024901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Neurodevelopmental Disabilities Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | |||
| Pediatric Neurodevelopmental Disabilities Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Jackson, TN
- NPI 1255478921
Neurodevelopmental Disabilities
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.