Richard Kurtz MD Professional Corporation

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

01041627A Issued in IN

Legal business name

RICHARD KURTZ MD PROFESSIONAL CORPORATION

Practice address

3351 N Meridian St
Suite 100
Indianapolis, IN 46208-4674

Phone

(317) 926-9117

Fax

(317) 923-5729

NPI assigned

Jan 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Abideen O Yekinni, M.D.NPI 1710904164

Title

Ceo/President

Phone

(317) 926-9117

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

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

• Abideen Olayinka Yekinni, M.D.

  • Specialist
  • Indianapolis, IN
  • NPI 1710904164
  Medicare reassignment Care Compare group NPD Authorized official
• Keith Allan Rodgers, AU.D., CCC-A, ABAC

  • Audiologist
  • Indianapolis, IN
  • NPI 1396474227
  Medicare reassignment Care Compare group NPD
• Lauren E Hendrickson, AUD

  • Audiologist-Hearing Aid Fitter
  • Carmel, IN
  • NPI 1750572905
  Medicare reassignment NPD
• Carolyn Herbert, AUD

  • Audiologist
  • Indianapolis, IN
  • NPI 1902441868
  NPD (past)

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233532800000",
    "number": "1487892766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3351 N MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084674",
            "telephone_number": "317-926-9117",
            "fax_number": "317-923-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 N MERIDIAN ST",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462084674",
            "telephone_number": "317-926-9117",
            "fax_number": "317-923-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD KURTZ MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-26",
        "last_updated": "2009-02-02",
        "status": "A",
        "authorized_official_last_name": "YEKINNI",
        "authorized_official_first_name": "ABIDEEN",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "317-926-9117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "IN",
            "license": "01041627A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124360",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Rich
• Lindsay Nicole Rich, NP
• Michelle Kaye Rich, NP
• Wendy J. Rich, M.D.
• Richard J K Grana Inc
• Richard L Roudebush VA Medical Center
• Richard L. Hartzell, O.D.P.C.
• Richard L. Roudebush VA Medical Center
• Richard L. Roudebush VA Medical Center
• Richard L. Roudebush VA Medical Center

• Otolaryngology/Facial Plastic Surgery Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.