Active NPI
Joseph J Kryc, MD
- Anesthesiology Physician
- Mesa, AZ
National Provider Identifier
1245344639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 19434
- Practice address
- 4002 E Main St
Ste1
Mesa, AZ 85205-8612 - Phone
- (480) 981-9151
- Fax
- (480) 324-5459
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 19434 | AZ | Primary |
Addresses
Primary practice location
4002 E Main St
Ste1
Mesa, AZ 85205-8612
Mailing address
4002 E Main St
Ste 1
Mesa, AZ 85205-8612
Phone (480) 981-9151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 293192 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Anesthesia Associates PLLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Mesa, AZ
- NPI 1023210036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1245344639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4002 E MAIN ST",
"address_2": "STE 1",
"city": "MESA",
"state": "AZ",
"postal_code": "852058612",
"telephone_number": "480-981-9151",
"fax_number": "480-324-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 E MAIN ST",
"address_2": "STE1",
"city": "MESA",
"state": "AZ",
"postal_code": "852058612",
"telephone_number": "480-981-9151",
"fax_number": "480-324-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRYC",
"first_name": "JOSEPH",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "AZ",
"license": "19434",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "293192",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.