William B Krissoff, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

G26823 Issued in CA

Practice address

10051 Lake Ave
Suite 4
Truckee, CA 96161-4825

Phone

(530) 582-0202

Fax

(530) 582-0206

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1245346790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE",
            "address_2": "SUITE 4",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614825",
            "telephone_number": "530-582-0202",
            "fax_number": "530-582-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10051 LAKE AVE",
            "address_2": "SUITE 4",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614825",
            "telephone_number": "530-582-0202",
            "fax_number": "530-582-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISSOFF",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "G26823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hea Jin Ko, MS, LMFT
• Ahrin Koppel, MD
• Jayson Koppinger, MD
• Tracy Korpela, LPCC
• Paul K Krause
• Katherine Krivan, D.C.
• Suzanne Schaake Lagrandeur, MSW
• Meghan Lahr
• Jennifer Lang Ree, P.N.P.
• Gregory William Lanouette, M.D.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.