Organization Active NPI

Yitzchok B. Kurtzer

Doing business as Mulberry Medical Center

  • Specialist
  • Scranton, PA
National Provider Identifier
1376630996
Registry record updated Jun 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD040950L Issued in PA
Legal business name
YITZCHOK B. KURTZER
Doing business as
Mulberry Medical Center
Practice address
1405 Mulberry St
Scranton, PA 18510-2224
Phone
(570) 342-8199
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2008

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

Authorized official

Name
Dr. Yitzchok B Kurtzer, MDNPI 1154321891
Title
Owner
Phone
(570) 342-8199

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD040950L PA Primary

Addresses

Primary practice location

1405 Mulberry St
Scranton, PA 18510-2224

Mailing address

1405 Mulberry St
Scranton, PA 18510-2224
Phone (570) 342-8199

Other identifiers 1

IdentifierTypeStateIssuer
0011471600001MedicaidPA

Other names 1

  • Mulberry Medical Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214179200000",
    "number": "1376630996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102224",
            "telephone_number": "570-342-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 MULBERRY ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185102224",
            "telephone_number": "570-342-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YITZCHOK B. KURTZER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2008-06-23",
        "status": "A",
        "authorized_official_last_name": "KURTZER",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-342-8199",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD040950L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011471600001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mulberry Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.