Shozo Kurusu, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

11498 Issued in WV

Practice address

1313 Quarrier St
Charleston, WV 25301-6002

Phone

(304) 792-6275

NPI assigned

Apr 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649496571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4245",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253644245",
            "telephone_number": "304-926-6352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 QUARRIER ST",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253016002",
            "telephone_number": "304-792-6275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUSU",
        "first_name": "SHOZO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "11498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Dale Kummet, MD
• Derek Kunda, DO
• Erica Kunkle
• Elizabeth Mickelsen Kurczynski, MD
• Kurt M. Nellhaus, M.D.
• John K Kuyk, D.D.S.
• KVC
• Leon S. Kwei, MD
• Byoun Jin Kwon Hwang, M.D.
• Lesley Labarbara

• Urology Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Urology Physician in West Virginia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.