NPIMap

Individual provider Active NPI

Curtis Matthew Jantzi, D.O.

  • Family Medicine Physician
  • Kingsport, TN
National Provider Identifier
1740372267
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO2163 Issued in TN
Practice address
2033 Meadowview LN
Ste 200
Kingsport, TN 37660-7569
Phone
(423) 857-2260
Fax
(423) 857-2261
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012373 PA
Family Medicine Physician 207Q00000X DO2163 TN Primary

Addresses

Primary practice location

2033 Meadowview LN
Ste 200
Kingsport, TN 37660-7569

Mailing address

PO Box 9
Kingsport, TN 37662-0009
Phone (423) 857-2066

Other identifiers 1

IdentifierTypeStateIssuer
1520595MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110512000736 TN Practitioner - Family Practice 4284648932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Holston Medical Group PCGroup PAC ID 8224935754, 239 clinicians
Mountain Region Speech and Hearing CenterGroup PAC ID 8628003589, 17 clinicians

Practice addresses (Care Compare)

105 W Stone Dr
Suite 3a
Kingsport, TN 37660-3256
Phone (423) 392-6200

301 Louis St
Kingsport, TN 37660-5195
Phone (423) 246-4600

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Johnson City, TN, CCN 447422
  • Adoration Home Health Home health agency, Kingsport, TN, CCN 447183
  • Beacon Home Health Home health agency, Jefferson City, TN, CCN 447528
  • Johnson City Medical Center Hospital, Johnson City, TN, CCN 440063
  • Indian Path Community Hospital Hospital, Kingsport, TN, CCN 440176
  • Wellmont Holston Valley Medical Center Hospital, Kingsport, TN, CCN 440017

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO2163TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Holston Medical Group PC Family Medicine CurrentSince Apr 9, 2011 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Holston Medical Group, PC PastSince Apr 9, 2011 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Health Associates of Western Pennsylvania P C Family Medicine Past Accepting new patients
Private Physicians Medical Practice, LLC Family Medicine PastSince Jan 1, 2018 Accepting new patients

Locations

350 Steeles Rd
#1
Bristol, TN 37620
Phone (423) 844-4925

2033 Meadowview Ln
Ste 200
Kingsport, TN 37660
Phone (423) 857-2260

2204 Pavilion Dr
Ste 200
Kingsport, TN 37660
Phone (423) 224-3900

105 W Stone Dr
Ste 3A
Kingsport, TN 37660
Phone (423) 392-6200

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: curtisjantzi@hmgpath.allscriptsdirect.net
  • FHIR API: https://fhir.holstonmedicalgroup.com/R4/open-R4

Organizations & group practices 7

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 8

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328140800000",
    "number": "1740372267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376620009",
            "telephone_number": "423-857-2066",
            "fax_number": "423-857-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 MEADOWVIEW LN",
            "address_2": "STE 200",
            "city": "KINGSPORT",
            "state": "TN",
            "postal_code": "376607569",
            "telephone_number": "423-857-2260",
            "fax_number": "423-857-2261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANTZI",
        "first_name": "CURTIS",
        "middle_name": "MATTHEW",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2012-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012373",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "DO2163",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1520595",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsport, TN

Sources for this page

Verify at the official NPI Registry.