Raymond Leonard Krzyzaniak, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

31530 Issued in SC

Practice address

402-B Singleton Ridge Road
Conway, SC 29526

Phone

(843) 347-8600

Fax

(843) 347-8702

NPI assigned

Mar 11, 2009

Last updated

May 20, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1236729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1023259660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "address_2": "MANAGED CARE DEPT",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402-B SINGLETON RIDGE ROAD",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "29526",
            "telephone_number": "843-347-8600",
            "fax_number": "843-347-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRZYZANIAK",
        "first_name": "RAYMOND",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-11",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "SC",
            "license": "31530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N31854",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Kremer, PHARMD
• Shannon Dawn Kretz
• Carole Krieger, LCSW, LISW
• Tabitha Krosi, RN
• KRT Enterprises (Medicine Mart Pharmacy)
• Dhruva Kumbhani, AUD
• Jennifer O Kuperman, M.D.
• Paul M Kuperman, MD
• Stacey Elizabeth Lacey
• Jeffrey S Lackey, MD

• Anatomic Pathology & Clinical Pathology Physician in Conway, SC
• Providers in Conway, SC by specialty
• Anatomic Pathology & Clinical Pathology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.