Organization Active NPI

Dr. Debra J. Kurtz PLLC

  • Obstetrics Physician
  • Traverse City, MI
National Provider Identifier
1730361916
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
License
4301051369 Issued in MI
Legal business name
DR. DEBRA J. KURTZ PLLC
Practice address
3537 W Front St
Suite F
Traverse City, MI 49684-7941
Phone
(231) 935-8920
Fax
(231) 935-3043
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Authorized official

Name
Dr. Drbra J Kurtz, MD
Title
Owner
Phone
(231) 935-8920

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VX0000X 4301051369 MI Primary

Addresses

Primary practice location

3537 W Front St
Suite F
Traverse City, MI 49684-7941

Mailing address

3537 W Front St
Suite F
Traverse City, MI 49684-7941
Phone (231) 935-8920

Other identifiers 4

IdentifierTypeStateIssuer
0280345OtherMIBCBS
13308OtherMICCMC
6390OtherMIPRIORITY HEALTH
2909390MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1730361916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE F",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847941",
            "telephone_number": "231-935-8920",
            "fax_number": "231-935-3043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3537 W FRONT ST",
            "address_2": "SUITE F",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847941",
            "telephone_number": "231-935-8920",
            "fax_number": "231-935-3043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DEBRA J. KURTZ PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "DRBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-935-8920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VX0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "MI",
            "license": "4301051369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0280345",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCMC",
            "identifier": "13308",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIORITY HEALTH",
            "identifier": "6390",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2909390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; 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.