Organization Active NPI

Ronald a Krueger MD Inc PS

Doing business as Northwest Sleep and Sinus Clinic

  • Specialist
  • Mukilteo, WA
National Provider Identifier
1083952220
Registry record updated Sep 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
32364 Issued in WA
Legal business name
RONALD A KRUEGER MD INC PS
Doing business as
Northwest Sleep and Sinus Clinic
Practice address
828 2ND St Ste C
Mukilteo, WA 98275-1601
Phone
(425) 341-4305
Fax
(888) 349-7131
NPI assigned
Jan 23, 2013
Last updated
Sep 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2013

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

Authorized official

Name
Kelly A Krueger
Title
Practice Manager
Phone
(425) 341-4305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 32364 WA Primary

Addresses

Primary practice location

828 2ND St Ste C
Mukilteo, WA 98275-1601

Mailing address

828 2ND St Ste C
Mukilteo, WA 98275-1601
Phone (425) 341-4305

Other names 1

  • Northwest Sleep and Sinus Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

828 2nd St
Ste C
Mukilteo, WA 98275
Phone (425) 341-4305

NPI Registry JSON

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

{
    "created_epoch": "1358899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1083952220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 2ND ST STE C",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751601",
            "telephone_number": "425-341-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 2ND ST STE C",
            "city": "MUKILTEO",
            "state": "WA",
            "postal_code": "982751601",
            "telephone_number": "425-341-4305",
            "fax_number": "888-349-7131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A KRUEGER MD INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-23",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "425-341-4305"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "32364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwest Sleep and Sinus Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mukilteo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; 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.