KURT ALEXANDER WALDTHAUSEN NPI 1952983173

NPI Information

  • NPI: 1952983173
  • Provider Name: KURT ALEXANDER WALDTHAUSEN
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 146 E HOSPITAL DR STE 200
    WEST COLUMBIA, SC
    ZIP 29169
  • Phone: (803) 791-2000

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NPI Details

Kurt Alexander Waldthausen is a medical physician assistant in West Columbia, SC with 5 years of experience. Kurt Alexander Waldthausen NPI is 1952983173. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

146 E HOSPITAL DR STE 200
WEST COLUMBIA, SC
ZIP 29169-800
Phone: (803) 791-2000

The NPI 1952983173 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of impacted ear wax (HCPCS:69210)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Exam of ear using a microscope (HCPCS:92504)

The enumeration date for this NPI number is 4/27/2021 and was last updated on 4/27/2021.

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
1363AM0700XPhysician AssistantMedicalYes

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: 11/21/2025

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