Organization Active NPI

Gregory Krause, M.D., Inc

  • Otolaryngology Physician
  • Vienna, WV
National Provider Identifier
1215963533
Registry record updated Jan 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
046611 Issued in WV
Legal business name
GREGORY KRAUSE, M.D., INC
Practice address
800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Phone
(304) 916-1270
Fax
(304) 916-1705
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2015

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

Authorized official

Name
Gregory Krause, MD
Title
President
Phone
(304) 916-1270

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 046611 WV Primary

Addresses

Primary practice location

800 Grand Central Mall Ste 11
Vienna, WV 26105-4100

Mailing address

800 Grand Central Mall Ste 11
Vienna, WV 26105-4100
Phone (304) 916-1270

National Provider Directory

National Provider Directory

Locations

800 Grand Central Mall
Ste 11
Vienna, WV 26105
Phone (304) 424-4150

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421020800000",
    "number": "1215963533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 11",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1270",
            "fax_number": "304-916-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 GRAND CENTRAL MALL STE 11",
            "city": "VIENNA",
            "state": "WV",
            "postal_code": "261054100",
            "telephone_number": "304-916-1270",
            "fax_number": "304-916-1705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY KRAUSE, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2015-01-12",
        "status": "A",
        "authorized_official_last_name": "KRAUSE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "304-916-1270",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "WV",
            "license": "046611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2015; 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.