Organization Active NPI

Ronald a Krisch MD PC

  • Psychiatry Physician
  • Allentown, PA
National Provider Identifier
1215922265
Registry record updated Jul 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD022249E Issued in PA
Legal business name
RONALD A KRISCH MD PC
Practice address
1251 S Cedar Crest Blvd
Ste 208a
Allentown, PA 18103-6205
Phone
(610) 432-5444
Fax
(610) 432-5440
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2014

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

Authorized official

Name
Dr. Ronald Avery Krisch, MD
Title
President
Phone
(610) 432-5444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X MD022249E PA Primary

Addresses

Primary practice location

1251 S Cedar Crest Blvd
Ste 208a
Allentown, PA 18103-6205

Mailing address

1251 S Cedar Crest Blvd
Ste 208a
Allentown, PA 18103-6205
Phone (610) 432-5444

Other identifiers 3

IdentifierTypeStateIssuer
02352100OtherPACAPITAL BLUE CROSS
07823136MedicaidPA
KR131595OtherPAHIGHMARK BLUE SHIELD

Other names 1

  • Ronald A. Krisch MD Other name

National Provider Directory

National Provider Directory

Locations

1251 S Cedar Crest Blvd
Ste 208A
Allentown, PA 18103
Phone (610) 432-5444

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1215922265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "STE 208A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-432-5444",
            "fax_number": "610-432-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 S CEDAR CREST BLVD",
            "address_2": "STE 208A",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036205",
            "telephone_number": "610-432-5444",
            "fax_number": "610-432-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD A KRISCH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "KRISCH",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-432-5444",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD022249E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02352100",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07823136",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "KR131595",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ronald A. Krisch MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Allentown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2014; 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.