Madison Grace Kutzera, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

9256 Bendix Rd Ste 200B
Columbia, MD 21045-1848

Phone

(443) 542-0773

NPI assigned

Jun 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Ellicott City Mental Health LLC

  • Psychiatry Physician
  • Columbia, MD
  • NPI 1316404411
  NPD (past)

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

{
    "created_epoch": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1417524679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9256 BENDIX RD STE 200B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451848",
            "telephone_number": "443-542-0773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9256 BENDIX RD STE 200B",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210451848",
            "telephone_number": "443-542-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZERA",
        "first_name": "MADISON",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-07",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kunec and Layug LLP
• Scott S. Kuperman, PD
• Kuresmart Pain Management Surgery Center-Columbia LLC
• Cynthia L Kurlanzik, LCSW-C
• India Kutcherman, LMSW
• Veronica Kwegyir-Afful, NP
• Kathleen Kwiatkoski, M.S., CCC-SLP
• Danielle H Kwon, LMSW
• Jayson T Kwon
• Andrea Kwong

• Physician Assistant in Columbia, MD
• Providers in Columbia, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2022; 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.