MR. GARY JOSEPH WORTZ M.D. NPI 1588605570

NPI Information

NPI: 1588605570
Provider Name: MR. GARY JOSEPH WORTZ, M.D.
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
535 S BURDICK ST
KALAMAZOO, MI
ZIP 49007
Phone: (269) 341-8822
Get Directions

MR. Gary Joseph Wortz, M.D. is a geriatric medicine internal medicine in Kalamazoo, MI. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MR. Gary Joseph Wortz, M.D. NPI is 1588605570. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

535 S BURDICK ST
KALAMAZOO, MI
ZIP 49007-294
Phone: (269) 341-8822
Fax: (269) 341-7518

The NPI 1588605570 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/10/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RG0300X	Internal Medicine	Geriatric Medicine	GW048453	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1786886	MEDICAID	MICHIGAN
2	A77129	MEDICARE UPIN	MICHIGAN
3	0A37610003	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN
4	M97330022	MEDICARE PIN	MICHIGAN
5	1417961137	OTHER	MICHIGAN	BCBSM - BMH
6	1588605570	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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