N.B. Krishnappa M.D. F.a.a.P. Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD 018139E Issued in PA

Legal business name

N.B. KRISHNAPPA M.D. F.A.A.P. INC

Practice address

111 Blacks Hill Rd
Irwin, PA 15642

Phone

(724) 864-2711

Fax

(724) 864-6536

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Nagu Boriah Krishnappa, M.D.

Title

President

Phone

(724) 864-2711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Claudine Gillison

  • Pediatrics Physician
  • Springfield, IL
  • NPI 1013126317
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003848409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 BLACKS HILL RD",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-864-2711",
            "fax_number": "724-864-6536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 BLACKS HILL RD",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-864-2711",
            "fax_number": "724-864-6536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.B. KRISHNAPPA M.D. F.A.A.P. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRISHNAPPA",
        "authorized_official_first_name": "NAGU",
        "authorized_official_middle_name": "BORIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-864-2711",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD 018139E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007244140002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alex Murray
• Bryanna Murray
• Karissa Musco
• Paige Myers-Halutick
• Madelyn Myers
• Cara Nassida
• Adnan K Nassur, MD
• Katherine Patterson Neely, MD
• Jocelyn Nellis
• Scott Nellis, D.O

• Pediatrics Physician in Irwin, PA
• Providers in Irwin, PA by specialty
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.