Core ENT. LLC

Primary specialty

Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X

License

D0637 Issued in AL

Legal business name

CORE ENT. LLC

Practice address

215 South 5TH Street
Gadsden, AL 35901-4217

Phone

(256) 543-2867

Fax

(256) 459-4791

NPI assigned

Oct 23, 2012

Last updated

Oct 23, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kurt W. Kantzler, D.O.NPI 1811913544

Title

Physician

Phone

(256) 543-2867

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Alabama Medical Assoc. LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kurt W Kantzler, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Gadsden, AL
  • NPI 1811913544
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1649523044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8365",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359028365",
            "telephone_number": "256-543-2867",
            "fax_number": "256-459-4791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SOUTH 5TH STREET",
            "city": "GADSDEN",
            "state": "AL",
            "postal_code": "359014217",
            "telephone_number": "256-543-2867",
            "fax_number": "256-459-4791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE ENT. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "KANTZLER",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "256-543-2867",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "AL",
            "license": "D0637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123503",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Alabama Medical Assoc. LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• John Mark Cooper, O.D.
• Coosa Care LLC
• David Alexander Corbin, MD
• Heather Corbin, CRNP
• Heather Nicole Cordell
• Thomas R Corley, MD
• Cornerstone Pathology, P.C.
• Ashley Miller Cornutt, C.R.N.A.
• Wayne F Cornutt, R.PH.
• Derok S Cornwell, PA

• Otolaryngology/Facial Plastic Surgery Physician in Gadsden, AL
• Providers in Gadsden, AL by specialty
• Otolaryngology/Facial Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.