Kurt R Wharton MD, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G57090 Issued in CA

Legal business name

KURT R WHARTON MD, INC.

Practice address

970 Dewing Ave
Suite 201
Lafayette, CA 94549-4291

Phone

(925) 962-0002

Fax

(925) 962-0003

NPI assigned

May 16, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Jennifer D McGettigan

Title

Office Manager

Phone

(925) 962-0002

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kurt R Wharton, M.D.

  • Obstetrics & Gynecology Physician
  • Royal Oak, MI
  • NPI 1558325092

  CA, Specialist

  Medicare reassignment NPD

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1992962013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 DEWING AVE",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494291",
            "telephone_number": "925-962-0002",
            "fax_number": "925-962-0003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 DEWING AVE",
            "address_2": "SUITE 201",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945494291",
            "telephone_number": "925-962-0002",
            "fax_number": "925-962-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT R WHARTON MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "MCGETTIGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "925-962-0002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G57090",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G570900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Connor Eamon Koreski
• Leena Koyano
• Violet Kozloff
• John M Kravitz, LMFT
• Danielle Kumandan
• Vernon Kwan, P.T.
• Crystine L'Heraux, NP-C
• Lafayette Physical Therapy, Inc.
• Lafayette School District
• Anupa Narendra Laheri, D.D.S.

• Specialist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.