Individual provider Active NPI

Kurt Otto Findeisen, MD

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1295400513
Registry record updated Aug 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD018055E Issued in PA
Practice address
1937 Pemberton St
Philadelphia, PA 19146-1825
Phone
(215) 546-9421
NPI assigned
Aug 9, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD018055E PA Primary

Addresses

Primary practice location

1937 Pemberton St
Philadelphia, PA 19146-1825

Mailing address

1937 Pemberton St
Philadelphia, PA 19146-1825
Phone (215) 546-9421

Electronic endpoints 3

TypeEndpointUseAffiliation
CONNECT URL info@edicioneslagotadeagua.com Health Information Exchange (HIE)
CONNECT URL info@edicioneslagotadeagua.com Direct
CONNECT URL info@edicioneslagotadeagua

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

LicenseStateTypeSpecialty
MD018055EPAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1628467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628467200000",
    "number": "1295400513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1937 PEMBERTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461825",
            "telephone_number": "215-546-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1937 PEMBERTON ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191461825",
            "telephone_number": "215-546-9421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINDEISEN",
        "first_name": "KURT",
        "middle_name": "OTTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-09",
        "last_updated": "2021-08-09",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD018055E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@edicioneslagotadeagua.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1937 Pemberton St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191461825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@edicioneslagotadeagua.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1937 Pemberton St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191461825",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@edicioneslagotadeagua",
            "affiliation": "N",
            "address_1": "1937 Pemberton St",
            "city": "Philadelphia",
            "state": "PA",
            "country_code": "US",
            "postal_code": "191461825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; 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.