Greentown Medical Associates P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD040950L Issued in PA

Legal business name

GREENTOWN MEDICAL ASSOCIATES P.C.

Practice address

1623 Route 507
Greentown, PA 18426

Phone

(570) 676-5660

Fax

(570) 676-0457

NPI assigned

Sep 29, 2006

Last updated

Nov 26, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Yitzchok Kurtzer, MDNPI 1154321891

Title

Owner

Phone

(570) 676-5660

Specialties & licenses 1

Addresses

Other identifiers 10

Other names 1

• Greentown Medical Center Other name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Yitzchok Barry Kurtzer, MD

  • Internal Medicine Physician
  • Scranton, PA
  • NPI 1154321891
  Authorized official Same address or phone
• Thomas M Baker

  • Chiropractor
  • Scotrun, PA
  • NPI 1295847127
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227657600000",
    "number": "1396837035",
    "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": "18510",
            "telephone_number": "570-342-8199",
            "fax_number": "570-342-6871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 ROUTE 507",
            "city": "GREENTOWN",
            "state": "PA",
            "postal_code": "18426",
            "telephone_number": "570-676-5660",
            "fax_number": "570-676-0457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENTOWN MEDICAL ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-11-26",
        "status": "A",
        "authorized_official_last_name": "KURTZER",
        "authorized_official_first_name": "YITZCHOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-676-5660",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD040950L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0781169000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CD7205",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUESHIELD",
            "identifier": "644536",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "001425",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "005756",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "29514",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "644536PA",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER",
            "identifier": "E1FK",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011471600006",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2804767",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greentown Medical Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Devereux Foundation
• Doris Domingue, ARDMS
• Nicholas Franssen, DPT
• Melissa M Gavin, MSPT
• Heather Gaydos, DPT
• Caitlin Gregory, DPT
• Vladimir Gressel, MD
• Martha Henwood
• Bethany Anne Jutzy Kecskes
• Erin Lynn Lafferty

• Internal Medicine Physician in Greentown, PA
• Providers in Greentown, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.