Kurt W Sprunger, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

37779 Issued in AZ

Practice address

3805 E Bell Rd Ste 5300
Phoenix, AZ 85032-2188

Phone

(602) 422-9690

Fax

(602) 422-9680

NPI assigned

May 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kwsprung@yourcarecommunity.org

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.

• Lander Valley Physician Practices, LLC

  • Psychiatry Physician
  • Lander, WY
  • NPI 1215971510

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1285683326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 5300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322188",
            "telephone_number": "602-422-9690",
            "fax_number": "602-422-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 E BELL RD STE 5300",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322188",
            "telephone_number": "602-422-9690",
            "fax_number": "602-422-9680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Health Care Dr Ste 1501",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "IL",
            "postal_code": "622461154",
            "country_code": "US",
            "telephone_number": "618-690-3411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPRUNGER",
        "first_name": "KURT",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-08",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036145819",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "WY",
            "license": "11528C",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "37779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER NUMBER",
            "identifier": "507707",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexander Spritzer, PMHNP
• Kinard Sproles
• Ashley Sprotberry, LAC
• Gregory Sprout, MD, MSC
• Robert David Spruance, O.D.
• Jacob Ray Sprute, DPT
• Kyle Sprute, MD
• James Gordon Spurgeon, ND
• Square Triangle LLC
• Square Triangle LLC

• Surgery Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Surgery Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.