DIMITRI KUZNETSOV, M.D. PLLC – NPI #1710184494
Urology

Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).

DIMITRI KUZNETSOV, M.D. PLLC is an urologist located in PORT TOWNSEND, WA. NPPES has assigned the NPI number 1710184494 to DIMITRI KUZNETSOV, M.D. PLLC on June 27, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2088P0231X from the Health Care Provider Taxonomy code set, which is classified as Urology, specializing in Pediatric Urology

The NPI profile was previously updated about 19 years ago on Nov 28, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIMITRI KUZNETSOV, M.D. PLLC below.

NPI Profile for
DIMITRI KUZNETSOV, M.D. PLLC

NPI Number
1710184494
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIMITRI KUZNETSOV, M.D. PLLC
Primary location
1274 7TH ST STE B
PORT TOWNSEND, WA 98368-2404
Phone: (360) 385-2905 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MARY KEYES
CLINIC MANAGER
Phone: (360) 385-2905
Updated
Identifiers

Identifiers for DIMITRI KUZNETSOV, M.D. PLLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWA1120955
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2088P0231X
- Urology / Pediatric Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.