Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kurt Alexander Waldthausen

Individual provider Medical Physician Assistant · NPI 1952983173

Kurt Alexander Waldthausen is a Physician Assistant in West Columbia, South Carolina. Graduated from University of South Carolina School of Medicine in 2021, 5 years ago. Practices with Charleston ENT Associates, LLC, a 77-clinician group and accepts Medicare assignment.

Years since qualifying
5
Trained at
University of South Carolina School of Medicine
In the registry since
2021

Practice location Address checks out

146 E Hospital Dr Ste 200
West Columbia, SC 29169-4800
Phone: (803) 791-2000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1952983173
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2021
Last updated in NPPESApril 27, 2021
Certification dateMarch 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Charleston Ent Associates, Llc — 77 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in West Columbia