Kurtis Hostetter, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME103141 Issued in FL

Practice address

12303 San Jose Blvd
Jacksonville, FL 32223-2640

Phone

(904) 288-0277

Fax

(904) 288-0414

NPI assigned

Jan 23, 2009

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

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Practice roles

Locations

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.

• Carespot of Orlando Hsi Urgent Care LLC

  • Urgent Care Clinic/Center
  • Orlando, FL
  • NPI 1306367503

  Family Medicine

  Medicare reassignment NPD
• Hma/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Vero Beach, FL
  • NPI 1689812109
  Medicare reassignment NPD
• Shands/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Gainesville, FL
  • NPI 1558595223
  Medicare reassignment NPD
• Solantic of Jacksonville, LLC

  • Urgent Care Clinic/Center
  • Ponte Vedra, FL
  • NPI 1407893100

  Family Medicine

  Medicare reassignment NPD
• Solantic/South Florida, LLC

  • Urgent Care Clinic/Center
  • Coral Springs, FL
  • NPI 1851344378
  Medicare reassignment NPD
• Physicians Home Visits LLC

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1245530575
  NPD (past) Authorized official
• Bethesda/Solantic Joint Venture, LLC

  • Urgent Care Clinic/Center
  • Boynton Beach, FL
  • NPI 1730329038
  NPD (past)
• Tenet-Solantic Joint Venture LLC

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1104159755
  NPD (past)

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1962640276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3624 SIMONTON PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327466741",
            "telephone_number": "407-766-2804",
            "fax_number": "407-878-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12303 SAN JOSE BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232640",
            "telephone_number": "904-288-0277",
            "fax_number": "904-288-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSTETTER",
        "first_name": "KURTIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-23",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME103141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hospital Specialists
• Hospital Specialists Inc
• Hospitalist Medicine Physicians of Florida - Jacksonville, LLC
• Hospitalists PRN LLC
• Hossam a Hessen MD PA
• Carolyn L Hottinger, LMHC
• Alicia Yunxin Hou, MD
• Zhen Hou, MD
• Emily Abigail Houck
• Valeri D Houck, P.A.-C

• Family Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2010; 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.