Active NPI
Andrew Kuntz, MD
- Neurology Physician
- South Euclid, OH
National Provider Identifier
1285112862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 35.066198CTR
- Practice address
- 1611 S Green Rd Ste 141
South Euclid, OH 44121-4121 - Phone
- (330) 330-1294
- NPI assigned
- Aug 5, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35.066198CTR | OH | Primary |
Addresses
Primary practice location
1611 S Green Rd Ste 141
South Euclid, OH 44121-4121
Mailing address
118 Grove Hill Rd
Baden, PA 15005-9626
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35.066198CTR | OH | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533427200000",
"number": "1285112862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 GROVE HILL RD",
"city": "BADEN",
"state": "PA",
"postal_code": "150059626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 S GREEN RD STE 141",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441214121",
"telephone_number": "330-330-1294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUNTZ",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-08-05",
"last_updated": "2018-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35.066198CTR",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Euclid, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.