Individual provider Active NPI

Kurt Roger Buchholz, PA.C

  • Physician Assistant
  • Parma, OH
National Provider Identifier
1821058975
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50-00-1658 Issued in OH
Practice address
6115 Powers Blvd
Ste. 100
Parma, OH 44129-5471
Phone
(440) 842-1570
Fax
(440) 842-8230
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50-00-1658 OH Primary

Addresses

Primary practice location

6115 Powers Blvd
Ste. 100
Parma, OH 44129-5471

Mailing address

6115 Powers Blvd
Ste. 100
Parma, OH 44129-5471
Phone (440) 842-1570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Collis, Kim & Associates, Inc. Past Accepting new patients
Southwest Orthopaedics, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1821058975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD",
            "address_2": "STE. 100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295471",
            "telephone_number": "440-842-1570",
            "fax_number": "440-842-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD",
            "address_2": "STE. 100",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295471",
            "telephone_number": "440-842-1570",
            "fax_number": "440-842-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "KURT",
        "middle_name": "ROGER",
        "credential": "PA.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50-00-1658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.