Active NPI
Carolyn Hanisko Kuerbitz, M.D.
- Internal Medicine Physician
- Painesville, OH
National Provider Identifier
1497766828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35-068523
- Practice address
- 7 W Jackson St
Painesville, OH 44077-3210 - Phone
- (440) 357-6740
- Fax
- (440) 357-7906
- NPI assigned
- Aug 10, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35-068523 | OH | Primary |
Addresses
Primary practice location
7 W Jackson St
Painesville, OH 44077-3210
Mailing address
5853 Williamsburg Dr
Highland HTS, OH 44143-2021
Phone (440) 646-8426
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130204000421 | OH | Order and Referring Only - Internal Medicine | 2365630605 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35-068523 | OH | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497766828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5853 WILLIAMSBURG DR",
"city": "HIGHLAND HTS",
"state": "OH",
"postal_code": "441432021",
"telephone_number": "440-646-8426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 W JACKSON ST",
"city": "PAINESVILLE",
"state": "OH",
"postal_code": "440773210",
"telephone_number": "440-357-6740",
"fax_number": "440-357-7906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUERBITZ",
"first_name": "CAROLYN",
"middle_name": "HANISKO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35-068523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Painesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.