Individual provider Active NPI

Kristine Dziurzynski, M.D.

  • Neurological Surgery Physician
  • Canton, OH
National Provider Identifier
1982669065
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
35.149150 Issued in OH
Practice address
2600 Tuscarawas St W Ste 520
Canton, OH 44708-4699
Phone
(330) 454-0702
Fax
(330) 454-0708
NPI assigned
Apr 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X MD449755 PA
Neurological Surgery Physician 207T00000X 35.149150 OH Primary

Addresses

Primary practice location

2600 Tuscarawas St W Ste 520
Canton, OH 44708-4699

Mailing address

PO Box 80690
Canton, OH 44708-0690
Phone (330) 363-7444

Other identifiers 1

IdentifierTypeStateIssuer
102855050MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20260107004430 CA Practitioner - Neurosurgery 2466552237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
University of South Alabama College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9330 Stockdale Hwy 200
Bakersfield, CA 93311-3615

PO Box
Suite 20752
Bakersfield, CA 93390

PO Box
Suite 20752
Bakersfield, CA 93390-0752

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Alliance Community Hospital Hospital, Alliance, OH, CCN 360131
  • Pomerene Hospital Hospital, Millersburg, OH, CCN 360148
  • Aultman Orrville Hospital Hospital, Orrville, OH, CCN 361323

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD449755PAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Brain & Spine Inc Neurological Surgery CurrentSince Feb 1, 2026 Accepting new patients
Aultman Hospital Current Accepting new patients
Ohio Specialty Physicians Corporation Neurological Surgery CurrentSince Sep 1, 2023 Accepting new patients
Ohio Specialty Physicians Corporation CurrentSince Sep 1, 2023 Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

9330 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 664-0100

2600 Tuscarawas St W
Ste 440
Canton, OH 44708
Phone (330) 452-3266

2600 Tuscarawas St W
Ste 520
Canton, OH 44708
Phone (330) 454-0702

Interoperability endpoints

  • Direct secure messaging: kristine.dziurynski@direct.aultman.org

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1982669065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447080690",
            "telephone_number": "330-363-7444",
            "fax_number": "330-363-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W STE 520",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084699",
            "telephone_number": "330-454-0702",
            "fax_number": "330-454-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DZIURZYNSKI",
        "first_name": "KRISTINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD449755",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.149150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102855050",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.