Marcene F. Kreifels, M.D., P.a.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

50036 Issued in FL

Legal business name

MARCENE F. KREIFELS, M.D., P.A.

Practice address

1198 S Ferdon Blvd
Crestview, FL 32536-4512

Phone

(850) 682-1735

Fax

(850) 689-4400

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marcene F. Kreifels, M.D.NPI 1801905039

Title

Physician

Phone

(850) 682-1735

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Marcene Faye Kreifels, M.D.

  • Family Medicine Physician
  • Crestview, FL
  • NPI 1801905039
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1083803415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1198 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364512",
            "telephone_number": "850-682-1735",
            "fax_number": "850-689-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1198 S FERDON BLVD",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325364512",
            "telephone_number": "850-682-1735",
            "fax_number": "850-689-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCENE F. KREIFELS, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "KREIFELS",
        "authorized_official_first_name": "MARCENE",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "850-682-1735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "50036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB PTAN",
            "identifier": "DH2506",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Makovskikh
• Chelsea Malandrucco
• Essam Yacoub Malaty, MD
• Imelda Maldonado, RBT
• Marcello a Borzatta MD PA
• Marfina Home Healthcare LLC
• Shadine Maroudi
• Michelle Ann Marquardt-Rogers, APRN
• Gwen Marie Martin, LPTA
• Savannah Loraine Martin

• General Practice Physician in Crestview, FL
• Providers in Crestview, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.