Organization Active NPI

Richard D Curtis M.D., P.a.

  • Specialist
  • Fleming Island, FL
National Provider Identifier
1972799534
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME86051 Issued in FL
Legal business name
RICHARD D CURTIS M.D., P.A.
Practice address
1715 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4323
Phone
(904) 215-2422
Fax
(904) 215-6122
NPI assigned
Sep 18, 2007
Last updated
Aug 3, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Authorized official

Name
Dr. Richard D Curtis, M.D.NPI 1376539312
Title
President
Phone
(904) 215-2422

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME86051 FL Primary
Orthopaedic Hand Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0106X ME86051 FL

Addresses

Primary practice location

1715 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4323

Mailing address

1715 Eagle Harbor Pkwy
Suite a
Fleming Island, FL 32003-4323
Phone (904) 215-2422

Other identifiers 1

IdentifierTypeStateIssuer
001701100MedicaidFL

National Provider Directory

National Provider Directory

Locations

1715 Eagle Harbor Pkwy
Ste A
Fleming Isle, FL 32003
Phone (904) 215-2422

Practitioners & affiliated clinicians

Practitioners 1

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": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280793600000",
    "number": "1972799534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 EAGLE HARBOR PKWY",
            "address_2": "SUITE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034323",
            "telephone_number": "904-215-2422",
            "fax_number": "904-215-6122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 EAGLE HARBOR PKWY",
            "address_2": "SUITE A",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034323",
            "telephone_number": "904-215-2422",
            "fax_number": "904-215-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD D CURTIS M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2010-08-03",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-215-2422",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME86051",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME86051",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001701100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.