Active NPI
Andrew Kortz MD PA
- Ophthalmology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- ANDREW KORTZ MD PA
- Practice address
- 4570 Isabella Ingram Dr
Pensacola, FL 32504-5026 - Phone
- (850) 438-6555
- Fax
- (850) 438-6559
- NPI assigned
- Dec 9, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew E Kortz, MD
- Title
- Owner
- Phone
- (850) 932-2000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
4570 Isabella Ingram Dr
Pensacola, FL 32504-5026
Mailing address
4570 Isabella Ingram Dr
Pensacola, FL 32504-5026
Phone (850) 438-6555
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 265779100 | Medicaid | FL | |
| 529918320 | Medicaid | AL | |
| DB5369 | Other | FL | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
355 Beal Pkwy N
Ft Walton Bch, FL 32548
Phone (850) 744-0118
115 Bailey Dr
Niceville, FL 32578
Phone (850) 678-5338
4570 Isabella Ingram Dr
Pensacola, FL 32504
Phone (850) 438-6555
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Pensacola, FL
- NPI 1295710556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455753600000",
"number": "1730164096",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4570 ISABELLA INGRAM DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045026",
"telephone_number": "850-438-6555",
"fax_number": "850-438-6559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4570 ISABELLA INGRAM DR",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325045026",
"telephone_number": "850-438-6555",
"fax_number": "850-438-6559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANDREW KORTZ MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-09",
"last_updated": "2016-02-18",
"status": "A",
"authorized_official_last_name": "KORTZ",
"authorized_official_first_name": "ANDREW",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-932-2000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265779100",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529918320",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "DB5369",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.