Provider Demographics
NPI:1730168857
Name:KURTZMAN, H JOSEPH (DPM)
Entity type:Individual
Prefix:
First Name:H
Middle Name:JOSEPH
Last Name:KURTZMAN
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1069 LEXINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44907-2265
Mailing Address - Country:US
Mailing Address - Phone:419-756-9111
Mailing Address - Fax:419-756-0191
Practice Address - Street 1:1069 LEXINGTON AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44907-2265
Practice Address - Country:US
Practice Address - Phone:419-756-9111
Practice Address - Fax:419-756-0191
Is Sole Proprietor?:No
Enumeration Date:2006-01-17
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36001677K213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0266199Medicaid
OHT80403Medicare UPIN
OH0266199Medicaid
OH4836550001Medicare NSC