Kenneth S Wurtz · Hematology & Oncology Physician

1161 Cook Rd, Orangeburg, SC 29118-8204

Overview

Kenneth S Wurtz is a Hematology & Oncology Physician practicing in Orangeburg, South Carolina. The National Provider Identifier (NPI) is #1700880119, which was assigned on June 13, 2005, and the registration record was last updated on November 25, 2015. The practitioner's main practice location is at 1161 Cook Rd, Orangeburg, SC 29118-8204; the contact telephone number is 8033954600, and the fax number is 8033954620. The primary taxonomy of Kenneth S Wurtz is Hematology & Oncology Physician (207RH0003X), with specialization in Hematology & Oncology. Kenneth S Wurtz is licensed to practice in the state of South Carolina (#20014), South Carolina (#20014).

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Provider Information

NPI 1700880119
Entity Type Individual
Provider Name DR. KENNETH S WURTZ
Gender Male
Credential M.D.
Practice Address 1161 Cook Rd
Orangeburg
SC 29118-8204
Practice Telephone 8033954600
Practice Fax Number 8033954620
Mailing Address Po Box 1245
Orangeburg
SC 29116-1245
Mailing Telephone 8033954561
Mailing Fax Number 8033952237
Enumeration Date 2005-06-13
Last Update Date 2015-11-25
NPI Deactivation Date 2006-03-16
NPI Reactivation Date 2006-03-29
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 9234031873
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name KENNETH S WURTZ
Primary Specialty MEDICAL ONCOLOGY
Organization Legal Name PINELLAS HEMATOLOGY AND ONCOLOGY PA
Address 5000 Park St N
Suite 1017
St Petersburg
FL 33709-2236

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N174400000XSpecialist20014SC
Y207RH0003XInternal MedicineHematology & Oncology20014SC

Other Provider Identifiers

Other IdentifierIssuing StateIssuerIdentifier Type
G25850SCMEDICAID

Taxonomy Information

Primary Taxonomy

Code 207RH0003X
Taxonomy Hematology & Oncology Physician
Classification Internal Medicine
Specialization Hematology & Oncology
Grouping Allopathic & Osteopathic Physicians
Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definition added, source added; 7/1/2011: modified source]
Additional Resources: http://www.osteopathic.org/certification

Other Taxonomy

Code 174400000X
Taxonomy Specialist
Classification Specialist
Grouping Other Service Providers
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster's II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
North Shore Hematology Oncology Associates PC 611 Gidney Ave, Newburgh, NY 12550-2823Hematology & Oncology Physician2025-11-25
Hamza Mehmood Sheikh 2250 El Mercado Loop, Sierra Vista, AZ 85635-5204Hematology & Oncology Physician2025-10-27
Kelly Nicole Kacinski 1751 York Ave, New York, NY 10128-6828Hematology & Oncology Physician2026-01-26
North Shore Hematology Oncology Associates PC 210 E 86th St, New York, NY 10028-3003Hematology & Oncology Physician2025-11-25
Tidalhealth Peninsula Regional, Inc. 11105 Cathage Rd, Berlin, MD 21811-2131Hematology & Oncology Physician2026-01-09
Maryland Oncology Hematology, Pa 18111 Prince Philip Dr Ste 327, Olney, MD 20832-1507Hematology & Oncology Physician2025-10-15
Titan Health Partners LLC 300 Littleton Rd Ste 301, Parsippany, NJ 07054-4841Hematology & Oncology Physician2026-02-05
Kirsten Marie Powell 3838 Cascades Blvd, Kent, OH 44240Hematology & Oncology Physician2025-12-01
M Management Group, LLC 12475 Route 50, Fairfax, VA 22033-2803Hematology & Oncology Physician2025-11-20
North Shore Hematology/Oncology Associates PC 2801 Richmond Ave, Staten Island, NY 10314Hematology & Oncology Physician2025-10-16
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Location Information

Street Address 1161 COOK RD
City ORANGEBURG
State SC
Zip Code 29118-8204
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Jennifer Renee Stephens 1103 Cook Rd, Orangeburg, SC 29118-8204Nurse Practitioner2025-01-17
Elizabeth Ostoja 1137 Cook Rd, Orangeburg, SC 29118-8204Family Nurse Practitioner2007-07-26

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Wilmot R Gissendanner Iv 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Physician Assistant2025-12-06
Claire L Hewitt 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Pharmacist2025-06-23
Jennifer Hearn 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Registered Dietitian2025-07-15
Latasha Hott 2323 St. Matthews Rd, Orangeburg, SC 29118Psychiatric/Mental Health Nurse Practitioner2017-03-15
Radames Adamo Zuquello 3709 Magnolia St, Orangeburg, SC 29118-1403Nephrology Physician2017-06-15
Idowu Afolarin Ajose 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Internal Medicine Physician2022-05-31
Patrick Moyer 3000 Saint Matthews Road, Po Box 1806, Orangeburg, SC 29118Emergency Medicine Physician2020-04-07
Medical University Hospital Authority 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442Psychiatric Hospital2023-02-28
Charles Francis Jacob 2650 Saint Matthews Rd, Orangeburg, SC 29118-1344Physical Therapist2024-10-01
Lucina V Smith-Brooks 2319 St Matthews Road, Orangeburg, SC 29118Mental Health Counselor2006-07-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.