Active NPI
Ronald a Krueger MD Inc PS
Doing business as Northwest Sleep and Sinus Clinic
- Specialist
- Mukilteo, WA
National Provider Identifier
1083952220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 32364
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.