Organization Active NPI

Dr.Neal F.Krouse, D.O.,P.a.

  • Family Medicine Physician
  • Deerfield Beach, FL
National Provider Identifier
1003119173
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DR.NEAL F.KROUSE, D.O.,P.A.
Practice address
2345 W Hillsboro Blvd
Suite 103
Deerfield Beach, FL 33442-1110
Phone
(954) 418-9445
Fax
(954) 418-9445
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Neal Farrell Krouse, D.O.
Title
Physician
Phone
(954) 418-9445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2345 W Hillsboro Blvd
Suite 103
Deerfield Beach, FL 33442-1110

Mailing address

2345 W Hillsboro Blvd
Suite 103
Deerfield Beach, FL 33442-1110
Phone (954) 418-9445

Other identifiers 1

IdentifierTypeStateIssuer
002736700MedicaidFL

National Provider Directory

National Provider Directory

Locations

2345 W Hillsboro Blvd
Ste 103
Deerfield Beach, FL 33442
Phone (954) 418-9445

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292198400000",
    "number": "1003119173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 W HILLSBORO BLVD",
            "address_2": "SUITE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421110",
            "telephone_number": "954-418-9445",
            "fax_number": "954-418-9445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 W HILLSBORO BLVD",
            "address_2": "SUITE 103",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334421110",
            "telephone_number": "954-418-9445",
            "fax_number": "954-418-9445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.NEAL F.KROUSE, D.O.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A",
        "authorized_official_last_name": "KROUSE",
        "authorized_official_first_name": "NEAL",
        "authorized_official_middle_name": "FARRELL",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "954-418-9445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002736700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.