Theodorus Jonathan Kurkjian, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

P3374 Issued in TX

Practice address

800 8TH Ave
Suite 336
Fort Worth, TX 76104-2601

Phone

(817) 870-5080

Fax

(817) 870-5064

NPI assigned

Jul 23, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: jkurkjian@direct.uspi.com

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533168000000",
    "number": "1508066176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 EDWARDS RANCH RD",
            "address_2": "STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761094122",
            "telephone_number": "817-870-5080",
            "fax_number": "817-870-5064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE",
            "address_2": "SUITE 336",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042601",
            "telephone_number": "817-870-5080",
            "fax_number": "817-870-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURKJIAN",
        "first_name": "THEODORUS",
        "middle_name": "JONATHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2018-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "264705",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "P3374",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P3374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mitchell C Kuppinger, MD
• Srikanth Kurapati, M.D.
• Maureen C. Kurgat, CNP
• Christopher Kurian, MD
• Aleena Kurien, DO
• Kaitlin Kurnick, APRN
• Jocelyn Luella Kurnik, MS
• Kurt N. Doyle CST,P.C.
• Kurt W Voss, D.O.
• Cloud K Kurtin, LBSW

• Plastic and Reconstructive Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2018; 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.