NPIMap

Organization Active NPI

Grzegorz Kurzydlo MD PA

  • Neurology Physician
  • Humble, TX
National Provider Identifier
1740731090
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
L7790 Issued in TX
Legal business name
GRZEGORZ KURZYDLO MD PA
Doing business as
Grzegorz Kurzydlo MD PA
Practice address
19411 McKay Dr
Suite 200
Humble, TX 77338-5713
Phone
(281) 570-4112
Fax
(281) 570-4067
NPI assigned
Oct 21, 2016
Last updated
Nov 14, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Authorized official

Name
Grzegorz P Kurzydlo, M.D.NPI 1083611925
Title
President
Phone
(281) 570-4112

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X L7790 TX Primary

Addresses

Primary practice location

19411 McKay Dr
Suite 200
Humble, TX 77338-5713

Mailing address

19411 McKay Dr
Suite 200
Humble, TX 77338-5713
Phone (281) 570-4112

Other identifiers 1

IdentifierTypeStateIssuer
217903801MedicaidTX

Other names 1

  • GRZEGORZ KURZYDLO MD PA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Grzegorz Kurzydlo MD PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

19411 McKay Dr
Ste 200
Humble, TX 77338
Phone (281) 570-4112

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1740731090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19411 MCKAY DR",
            "address_2": "SUITE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385713",
            "telephone_number": "281-570-4112",
            "fax_number": "281-570-4067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19411 MCKAY DR",
            "address_2": "SUITE 200",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385713",
            "telephone_number": "281-570-4112",
            "fax_number": "281-570-4067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRZEGORZ KURZYDLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "KURZYDLO",
        "authorized_official_first_name": "GRZEGORZ",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-570-4112",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "L7790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "217903801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GRZEGORZ KURZYDLO MD PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.