Active NPI
Mary M Wurtz, MD
- Pulmonary Disease Physician
- Independence, MO
National Provider Identifier
1922033018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- R8G42
- Practice address
- 4911 S Arrowhead Dr
Suite 201
Independence, MO 64055-7005 - Phone
- (816) 478-8113
- Fax
- (816) 478-8108
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | R8G42 | MO | Primary |
Addresses
Primary practice location
4911 S Arrowhead Dr
Suite 201
Independence, MO 64055-7005
Mailing address
4911 S Arrowhead Dr
Suite 201
Independence, MO 64055-7005
Phone (816) 478-8113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 73428017 | Other | BCBS KANSAS CITY | |
| 203414800 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MARY.WURTZ@hca2.eclinicaldirectplus.com |
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
- Doctor of Medicine
Interoperability endpoints
- mary.wurtz@hca2.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1922033018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4911 S ARROWHEAD DR",
"address_2": "SUITE 201",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557005",
"telephone_number": "816-478-8113",
"fax_number": "816-478-8108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4911 S ARROWHEAD DR",
"address_2": "SUITE 201",
"city": "INDEPENDENCE",
"state": "MO",
"postal_code": "640557005",
"telephone_number": "816-478-8113",
"fax_number": "816-478-8108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURTZ",
"first_name": "MARY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MO",
"license": "R8G42",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS KANSAS CITY",
"identifier": "73428017",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "203414800",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MARY.WURTZ@hca2.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "4911 S Arrowhead Dr",
"address_2": "SUITE 201",
"city": "Independence",
"state": "MO",
"country_code": "US",
"postal_code": "640557005",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Independence, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.