NPIMap

Organization Active NPI

Marshall E. Tarzy & Christine a. Kurkoski D.P.M., P.a.

  • Podiatrist
  • Frederick, MD
National Provider Identifier
1942324595
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
01039 Issued in MD
Legal business name
MARSHALL E. TARZY & CHRISTINE A. KURKOSKI D.P.M., P.A.
Practice address
1519 W Patrick St
Frederick, MD 21702-3724
Phone
(301) 663-3338
Fax
(301) 663-0642
NPI assigned
Mar 19, 2007
Last updated
Oct 10, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

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

Authorized official

Name
Dr. Marshall E. TarzyNPI 1194852707
Title
Ceo
Phone
(301) 663-3338

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 01035 MD
Podiatrist 213E00000X 01039 MD Primary

Addresses

Primary practice location

1519 W Patrick St
Frederick, MD 21702-3724

Mailing address

1519 W Patrick St
Frederick, MD 21702-3724
Phone (301) 663-3338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110405000215 MD Part B Supplier - Clinic/Group Practice 0941484661 Receives reassigned benefits from 2 practitioners
Practice locations: Frederick, MD
O20110826000099 MD DME Supplier - Physician - Podiatry 0941484661 Practice locations: Frederick, MD

National Provider Directory

National Provider Directory

Locations

1519 W Patrick St
Ste A4
Frederick, MD 21702
Phone (301) 663-3338

1519 W Patrick St
Ste A45
Frederick, MD 21702

48 Tarn Ter
Frostburg, MD 21532
Phone (301) 689-1391

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1942324595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1519 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023724",
            "telephone_number": "301-663-3338",
            "fax_number": "301-663-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023724",
            "telephone_number": "301-663-3338",
            "fax_number": "301-663-0642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSHALL E. TARZY & CHRISTINE A. KURKOSKI D.P.M., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "TARZY",
        "authorized_official_first_name": "MARSHALL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-663-3338",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01035",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.