Active NPI
Dennis C. Szurkus Jr., M.D.
- Obstetrics & Gynecology Physician
- Charlotte, NC
National Provider Identifier
1699745992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 2014-02175
- Practice address
- 1350 S Kings Dr
Charlotte, NC 28207-2134 - Phone
- (704) 446-1544
- Fax
- (704) 446-1550
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 33885 | TN | |
| Obstetrics & Gynecology Physician | 207V00000X | ME100440 | FL | |
| Obstetrics & Gynecology Physician | 207V00000X | 2014-02175 | NC | Primary |
Addresses
Primary practice location
1350 S Kings Dr
Charlotte, NC 28207-2134
Mailing address
PO Box 601372
Charlotte, NC 28260-1372
Phone (704) 446-1544
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699745992 | Medicaid | NC | |
| NC2280 | Medicaid | SC | |
| 000142200 | Medicaid | FL |
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 |
|---|---|---|---|
| 2014-02175 | NC | MD | Obstetrics & Gynecology Physician |
| 33885 | TN | MD | Family Nurse Practitioner |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427673600000",
"number": "1699745992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 601372",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282601372",
"telephone_number": "704-446-1544",
"fax_number": "704-446-1550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 S KINGS DR",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282072134",
"telephone_number": "704-446-1544",
"fax_number": "704-446-1550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SZURKUS",
"first_name": "DENNIS",
"middle_name": "C.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2015-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "33885",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME100440",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NC",
"license": "2014-02175",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1699745992",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2280",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000142200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.