Individual provider Active NPI

Jillian Kurtz

  • Obstetrics & Gynecology Physician
  • Bryn Mawr, PA
National Provider Identifier
1326463654
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
OS019642 Issued in PA
Practice address
825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone
(610) 527-0800
NPI assigned
Feb 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OS019642 PA Primary

Addresses

Primary practice location

825 Old Lancaster Rd
Bryn Mawr, PA 19010

Mailing address

825 Old Lancaster Rd Ste 130
Bryn Mawr, PA 19010-3234

Other practice location 1

825 Old Lancaster Rd
Bryn Mawr, PA 19010
Phone (610) 527-0800

Other practice location 2

915 Old Fern Hill Rd Ste 101
West Chester, PA 19380-3434
Phone (610) 840-1500

Other practice location 3

11 Industrial Blvd
Paoli, PA 19301-1632
Phone (610) 993-8200

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)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Portland Center for Reproductive Medicine Past Accepting new patients
Main Line Fertility Clinic PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1326463654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD STE 130",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 OLD LANCASTER RD",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "19010",
            "telephone_number": "610-527-0800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Old Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "19010",
            "country_code": "US",
            "telephone_number": "610-527-0800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "915 Old Fern Hill Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Chester",
            "state": "PA",
            "postal_code": "193803434",
            "country_code": "US",
            "telephone_number": "610-840-1500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Industrial Blvd",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "PA",
            "postal_code": "193011632",
            "country_code": "US",
            "telephone_number": "610-993-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OS019642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.