Richard Paul Sturtz, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

11493 Issued in SC

Practice address

1114 Cornelia Rd
Anderson, SC 29621-3317

Phone

(864) 225-1656

Fax

(864) 225-1658

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770799751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1114 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213317",
            "telephone_number": "864-225-1656",
            "fax_number": "864-225-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 CORNELIA RD",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296213317",
            "telephone_number": "864-225-1656",
            "fax_number": "864-225-1658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STURTZ",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "SC",
            "license": "11493",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "114931",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tim Stuckart, RPH
• Study Edge, LLC
• James O. Stumpff, M.D.
• Kylie Sturgill
• Sarah Anne Sturkie, LPC-A
• Cathy F. Styles, O.T.
• Iris Scott Suber, MCD-CCC-SLP
• Subha Parchuri, MD, PA
• Catherine Ray Sullivan, MPT
• Kayla Sullivan

• Dermatology Physician in Anderson, SC
• Providers in Anderson, SC by specialty
• Dermatology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.