Individual provider Active NPI

Arielle Elena Kuritzky-Havens, DO

  • Emergency Medicine Physician
  • Gainesville, FL
National Provider Identifier
1659661932
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
70949 Issued in GA
Practice address
4510 NW 17TH PL
Gainesville, FL 32605-3479
Phone
(407) 342-0351
NPI assigned
Apr 8, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 70949 GA Primary

Addresses

Primary practice location

4510 NW 17TH PL
Gainesville, FL 32605-3479

Mailing address

4510 NW 17TH PL
Gainesville, FL 32605-3479
Phone (407) 342-0351

Other names 1

  • Arielle Sloan-Kuritzky Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141202000637 AZ Practitioner - Emergency Medicine 9436380920 Reassigns benefits to 1 organization
I20200409001264 TX Practitioner - Emergency Medicine 9436380920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower St Josephs PLLCGroup PAC ID 2961866173, 52 clinicians

Practice addresses (Care Compare)

350 W Thomas Rd
Phoenix, AZ 85013-4409
Phone (602) 406-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
70949GAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empower St Josephs PLLC Emergency Medicine CurrentSince Dec 30, 2023 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Dec 31, 2019 Accepting new patients
San Carlos Apache Healthcare Corporation CurrentSince Dec 31, 2019 Accepting new patients

Locations

7300 N 99th Ave
Glendale, AZ 85307
Phone (480) 339-5001

103 Medicine Way Rd
Peridot, AZ 85542
Phone (928) 475-1200

350 W Thomas Rd
Phoenix, AZ 85013
Phone (480) 339-5001

14818 N 74th St
Scottsdale, AZ 85260
Phone (480) 339-5088

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403049600000",
    "number": "1659661932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 NW 17TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053479",
            "telephone_number": "407-342-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 NW 17TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326053479",
            "telephone_number": "407-342-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURITZKY-HAVENS",
        "first_name": "ARIELLE",
        "middle_name": "ELENA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2014-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "70949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARIELLE",
            "last_name": "SLOAN-KURITZKY",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.