Active NPI
Kathleen Anne Kucer, MD
- Dermatology Physician
- Sellersville, PA
National Provider Identifier
1629055157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- MD019489E
- Practice address
- 817 Lawn Ave
Upper Bucks Medical Arts Building
Sellersville, PA 18960-1549 - Phone
- (215) 257-0196
- Fax
- (215) 257-1211
- NPI assigned
- Dec 27, 2005
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD019489E | PA | Primary |
Addresses
Primary practice location
817 Lawn Ave
Upper Bucks Medical Arts Building
Sellersville, PA 18960-1549
Mailing address
817 Lawn Ave
Upper Bucks Medical Arts Building
Sellersville, PA 18960-1549
Phone (215) 257-0196
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001542601 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD019489E | PA | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214352000000",
"number": "1629055157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "817 LAWN AVE",
"address_2": "UPPER BUCKS MEDICAL ARTS BUILDING",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601549",
"telephone_number": "215-257-0196",
"fax_number": "215-257-1211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "817 LAWN AVE",
"address_2": "UPPER BUCKS MEDICAL ARTS BUILDING",
"city": "SELLERSVILLE",
"state": "PA",
"postal_code": "189601549",
"telephone_number": "215-257-0196",
"fax_number": "215-257-1211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCER",
"first_name": "KATHLEEN",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-27",
"last_updated": "2008-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "PA",
"license": "MD019489E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001542601",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sellersville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.