Jeffrey Clinton Krauss, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1102090 Issued in NY

Practice address

830 Washington St
Watertown, NY 13601-4034

Phone

(315) 786-4813

NPI assigned

Oct 23, 2011

Last updated

Jun 30, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Transitions Counseling and Consulting

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glendale, AZ
  • NPI 1326414889
  NPD Authorized official

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

{
    "created_epoch": "1319328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1023394012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7330 N 16TH ST STE A320",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205237",
            "telephone_number": "602-363-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014034",
            "telephone_number": "315-786-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSS",
        "first_name": "JEFFREY",
        "middle_name": "CLINTON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-23",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "1102090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KPH Healthcare Services, Inc. (Kinney Drugs #30)
• Eileen R Kraeger, PA
• Cynthia Krake
• John Krake
• Lawrence George Kramer, MD
• Kevin J Kriesel, MD
• Jack Kriesick, R.PH.
• Krista Krull-Goss
• Livia Margaret Kubica, LMSW
• Courtney Kulzer, LMSW

• Physician Assistant in Watertown, NY
• Providers in Watertown, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.