DR. KURT A ICK (NPI# 1760439152) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760439152 |
| Entity Type | Individual |
| Full Name | DR. KURT A ICK |
| Credential | MD |
| Practice Address |
1932 Brookside Dr Kingsport TN 37660 |
| Practice Telephone | 4232464155 |
| Practice Fax Number | 4232467169 |
| Mailing Telephone | 4232464155 |
| Mailing Fax Number | 4232467169 |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2011-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | MD28950 | TN | Allopathic & Osteopathic Physicians |
| Street Address |
1932 BROOKSIDE DR |
| City | KINGSPORT |
| State | TN |
| Zip Code | 37660 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609824176 | Woodrow W Reeves | Urology | 1932 Brookside Dr, Kingsport, TN 37660 | 2006-05-05 |
| 1083735484 | Kingsport Urology Group | Urology | 1932 Brookside Dr, Kingsport, TN 37660-4602 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909891 | Nancy Gober | Pharmacist | Holston Valley Medical Center Inpatient Pharmacy, 130 W Ravine, Kingsport, TN 37660 | 2020-07-06 |
| 1700437621 | Tammy Denise Leblanc | Technician | 125 Lancer Rd, Kingsport, TN 37660 | 2019-09-23 |
| 1831743392 | Independent Physical Therapy | Occupational Therapist | 1704 E. Stone Dr. Ste 120, Kingsport, TN 37660 | 2019-08-01 |
| 1871095315 | Macie Anderson | Nurse Practitioner | 411 Clay St, Kingsport, TN 37660 | 2018-03-01 |
| 1053813527 | Pulitzer Orthodontics, LLC | Dentist | 1200 Pulitzer Place, Kingsport, TN 37660 | 2018-03-01 |
| 1174038749 | Sbh-kingsport | Psychiatric Hospital | 1025 Executive Park Blvd, Kingsport, TN 37660 | 2017-12-05 |
| 1548771447 | Sara B Ball | Registered Nurse | 111 W Stone Dr Ste 240, Kingsport, TN 37660 | 2017-10-18 |
| 1821525361 | Ashley Brook Weems | Nurse Practitioner | Six Sheridan Square Suite 100, Kingsport, TN 37660 | 2017-05-15 |
| 1639625643 | Stephanie H Garris | Nurse Practitioner | 117 W Sevier Ave Ste 120, Kingsport, TN 37660 | 2016-08-30 |
| 1073965679 | Teresa Anne Starke | Physician Assistant | 8 Sheridan Square, Suite 110, Kingsport, TN 37660 | 2016-07-07 |
| Find all providers in zip 37660 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609824176 | Woodrow W Reeves | Urology | 1932 Brookside Dr, Kingsport, TN 37660 | 2006-05-05 |
| 1447208913 | Charles E Payne | Urology | 1932 Brookside Drive, Kingsport, TN 37660 | 2006-05-05 |
| 1538166657 | James R Herman | Urology | 822 Broad St, Kingsport, TN 37660-3718 | 2005-07-05 |
| 1083735484 | Kingsport Urology Group | Urology | 1932 Brookside Dr, Kingsport, TN 37660-4602 | 2007-04-03 |
| 1770665861 | Arthur T Wyker | Urology | 822 Broad St, Kingsport, TN 37660-3718 | 2006-10-19 |
| 1184644932 | Urology Associates of Kingsport, P. C. | Urology | 822 Broad St, Kingsport, TN 37660-3718 | 2006-07-21 |
| 1104878388 | Anthony Lee Broglio | Urology | 822 Broad St, Kingsport, TN 37660-3718 | 2006-05-16 |
| 1396743761 | Hugh M. Sullivan | Urology | 822 Broad St, Kingsport, TN 37660-3718 | 2005-07-11 |
| 1225036841 | Jim R Littlejohn | Urology | 822 Broad St, Kingsport, TN 37660-3718 | 2005-07-08 |
| 1134127756 | C Mack Patton | Urology | 822 Broad St, Kingsport, TN 37660-3718 | 2005-07-08 |
| Find all providers in KINGSPORT | ||||
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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.