Active NPI
Kurt Small, MD
- Anesthesiology Physician
- Cortlandt Manor, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 222878-1
- Practice address
- 1980 Crompond Rd
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567-4179 - Phone
- (914) 737-9000
- Fax
- (845) 790-2675
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 222878-1 | NY | Primary |
Addresses
Primary practice location
1980 Crompond Rd
Hudson Valley Hospital Center
Cortlandt Manor, NY 10567-4179
Mailing address
2 Catharine St
P.O. Box 550
Poughkeepsie, NY 12601-3100
Phone (845) 790-2661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02547111 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- New York Medical College, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
240 Medical Park Blvd
Suite 2400
Bristol, TN 37620-7354
Phone (423) 639-0941
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222878-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Anesthesia Solutions Inc. | Anesthesiology | Current | Accepting new patients |
| Meadowview ASC, LLC | Past | Accepting new patients |
Locations
320 Bristol West Blvd
Ste 1A
Bristol, TN 37620
Phone (423) 758-1030
10425 Wallace Alley St
Kingsport, TN 37663
Phone (423) 282-9011
130 W Stone Dr
Kingsport, TN 37660
2033 Meadowview Ln
Ste 210
Kingsport, TN 37660
Phone (423) 343-7820
Dept 888618
Knoxville, TN 37995
Interoperability endpoints
- kurt.small@direct.hvhc.org
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.
-
- Certified Registered Nurse Anesthetist
- Bristol, TN
- NPI 1164772109
Anesthesiology
-
- Ambulatory Surgical Clinic/Center
- Kingsport, TN
- NPI 1629536826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201651200000",
"number": "1942270483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 CATHARINE ST",
"address_2": "P.O. BOX 550",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126013100",
"telephone_number": "845-790-2661",
"fax_number": "845-790-2675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1980 CROMPOND RD",
"address_2": "HUDSON VALLEY HOSPITAL CENTER",
"city": "CORTLANDT MANOR",
"state": "NY",
"postal_code": "105674179",
"telephone_number": "914-737-9000",
"fax_number": "845-790-2675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMALL",
"first_name": "KURT",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2008-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "222878-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02547111",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cortlandt Manor, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.