Organization Active NPI

Stuart B. Krost M.D.PA.

  • Specialist
  • Pompano Beach, FL
National Provider Identifier
1174887079
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME061951 Issued in FL
Legal business name
STUART B. KROST M.D.PA.
Practice address
4701 N Federal Hwy
Suite 445
Pompano Beach, FL 33064-2246
Phone
(561) 296-2220
Fax
(561) 296-2221
NPI assigned
Jun 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Stuart B. Krost, M.D.NPI 1831143312
Title
Owner
Phone
(561) 296-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X ME061951 FL Primary

Addresses

Primary practice location

4701 N Federal Hwy
Suite 445
Pompano Beach, FL 33064-2246

Mailing address

3618 Lantana Rd
Suite 201
Lake Worth, FL 33462-2246
Phone (561) 296-2220

Other identifiers 1

IdentifierTypeStateIssuer
ME0061951OtherFLMEDICARE LICENSE

National Provider Directory

National Provider Directory
Tax ID family
Stuart B Krost Mdpa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4701 N Federal Hwy
Ste 445
Pompano Beach, FL 33064
Phone (561) 296-2220

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1174887079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD",
            "address_2": "SUITE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622246",
            "telephone_number": "561-296-2220",
            "fax_number": "561-296-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N FEDERAL HWY",
            "address_2": "SUITE 445",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330642246",
            "telephone_number": "561-296-2220",
            "fax_number": "561-296-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART B. KROST M.D.PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "KROST",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-296-2220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME061951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE LICENSE",
            "identifier": "ME0061951",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.