DR. MOHAMED A KOURTU (NPI# 1659360931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659360931 |
| Entity Type | Individual |
| Full Name | DR. MOHAMED A KOURTU |
| Credential | M.D. |
| Practice Address |
2 W Crescent Park Warren PA 16365-2111 |
| Practice Telephone | 8147233300 |
| Practice Fax Number | 8147238515 |
| Mailing Telephone | 8147233300 |
| Mailing Fax Number | 8147238515 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2010-11-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
MD049485L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001819996 | 05 |
| Street Address |
2 W CRESCENT PARK |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811990229 | Lee E Denlinger | Specialist | 2 W Crescent Park, Warren, PA 16365-2111 | 2005-05-31 |
| 1700423209 | Jennifer Thrift | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2019-12-03 |
| 1972079184 | Warren General Hospital | Registered Nurse | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-10-16 |
| 1558846584 | Nathan Zigler | Physician Assistant | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-09-25 |
| 1720570021 | Erin Wilcox | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1801388269 | Tracy Marie Leichtenberger | Dental Hygienist | 2 W Crescent Park, Warren, PA 16365-2111 | 2018-06-01 |
| 1891228136 | Primary Health Network | Clinic/Center | 2 W Crescent Park, Warren, PA 16365-2111 | 2017-04-04 |
| 1053863191 | Melissa Eckman | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365 | 2016-10-25 |
| 1174984116 | Regan Nicole Olsen | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2016-03-18 |
| 1114392735 | Kelly Sullivan | Nurse Practitioner | 2 W Crescent Park, Warren, PA 16365-2111 | 2015-12-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730267188 | Jose Antonio Torres | Anesthesiology | 1806 E Market St, Warren, OH 44483-6616 | 2006-11-02 |
| 1255352241 | Warren Pain Clinic and Acupuncture Center, PC | Anesthesiology | 103 West St. Clair Street, Suite 2c, Warren, PA 16365-2188 | 2006-07-22 |
| 1306814561 | Kondraganti P Rao | Anesthesiology | 28111 Hoover, Warren, MI 48093 | 2006-03-14 |
| 1265713242 | Medcare Inc | Anesthesiology | 2243 E 12 Mile Rd, Warren, MI 48092-5644 | 2011-09-02 |
| 1649562307 | Daniel Feldman | Anesthesiology | 11900 E 12 Mile Rd, Suite 110, Warren, MI 48093-3400 | 2011-05-12 |
| 1194029272 | Syndolor Medical LLC | Anesthesiology | 1806 E Market St, Warren, OH 44483-6616 | 2011-01-04 |
| 1306011481 | Christina W Chin Md LLC | Anesthesiology | 100 Town Center Dr, Warren, NJ 07059-5692 | 2008-04-29 |
| 1083663652 | Memac Associates, PC | Anesthesiology | 11800 E 12 Mile Rd, Anesthesia Department, Warren, MI 48093-3472 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629630504 | Bac Medical, Pllc | Anesthesiology | 3070 Bristol Pike # 2-130, Bensalem, PA 19020-5364 | 2019-07-01 |
| 1285294983 | Thomas Falasca | Anesthesiology | 411 Sybil Dr, Erie, PA 16505-2152 | 2019-06-17 |
| 1144711235 | Amy L. Croushore | Anesthesiology | 5750 Centre Ave Ste 400, Pittsburgh, PA 15206-3761 | 2018-05-23 |
| 1023521598 | Michaela R Lewis | Anesthesiology | 333 State St Ste 104, Erie, PA 16507-1463 | 2017-11-07 |
| 1457704652 | Guthrie Medical Group, P.C. | Anesthesiology | 37 Pratt Avenue, Towanda, PA 18848 | 2016-07-22 |
| 1932518669 | Pharo Pain Management Asociates, P.C. | Anesthesiology | 829 Spruce St Ste 308, Philadelphia, PA 19107-5752 | 2014-08-06 |
| 1457786253 | Lighthouse Medical, LLC | Anesthesiology | 507 Tire Hill Rd, Suite 100, Johnstown, PA 15905-7311 | 2013-09-11 |
| 1992137103 | Anish Sethi | Anesthesiology | 834 Chestnut St Ste T150, Philadelphia, PA 19107 | 2013-07-30 |
| 1528407392 | Soon Yong Jung | Anesthesiology | 1240 S Cedar Crest Blvd Ste 307, Allentown, PA 18103-6263 | 2013-06-14 |
| 1316381155 | Beacon Medical, LLC | Anesthesiology | 136 Jaycee Dr, Suite 10, Johnstown, PA 15904-3650 | 2013-04-23 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.