Individual provider Active NPI

Maria Theresa S Kurtz, D.O.

  • Gastroenterology Physician
  • Olympia, WA
National Provider Identifier
1750608329
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OP61141802 Issued in WA
Practice address
209 Lilly Rd NE Ste B
Olympia, WA 98506-5030
Phone
(360) 413-8250
Fax
(360) 413-8830
NPI assigned
Apr 22, 2010
Last updated
Dec 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OP61141802 WA
Gastroenterology Physician 207RG0100X 868 NE
Gastroenterology Physician 207RG0100X OP61141802 WA Primary

Addresses

Primary practice location

209 Lilly Rd NE Ste B
Olympia, WA 98506-5030

Mailing address

9500 S Dadeland Blvd Ste 200
Miami, FL 33156-2866
Phone (786) 530-3820

Other practice location 1

Madigan Army Medical Center 9040 Jackson Ave
Tacoma, WA 98431-4504
Phone (253) 968-2252

Other names 1

  • Maria Kurtz Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220614003203 WA Practitioner - Gastroenterology 0345482139 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
868NEMDOptometrist
OP61141802WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Puget Sound Gastroenterology, PLLC Gastroenterology CurrentSince Jan 5, 2026 Accepting new patients
Gastroenterology Associates Clinical Practice, PLLC Gastroenterology CurrentSince Aug 1, 2022 Accepting new patients
Puget Sound Gastroenterology, PLLC Past Accepting new patients
Lake Washington Anesthesia PLLC Past Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

209 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8250

209 Lilly Rd NE
Ste B
Olympia, WA 98506
Phone (360) 413-8250

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1750608329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 S DADELAND BLVD STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562866",
            "telephone_number": "786-530-3820",
            "fax_number": "305-675-3378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 LILLY RD NE STE B",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065030",
            "telephone_number": "360-413-8250",
            "fax_number": "360-413-8830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Madigan Army Medical Center 9040 Jackson Ave",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984314504",
            "country_code": "US",
            "telephone_number": "253-968-2252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "MARIA THERESA",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "OP61141802",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NE",
            "license": "868",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "WA",
            "license": "OP61141802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "KURTZ",
            "credential": "DO",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.