Active NPI
Moriah Susanne Krason, MD
- Pediatrics Physician
- Salem, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 0101240230
- Practice address
- 1802 Braeburn Dr
Salem, VA 24153-7357 - Phone
- (540) 772-3580
- Fax
- (540) 772-3785
- NPI assigned
- Oct 19, 2006
- Last updated
- Sep 21, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 0101240230 | VA | Primary |
| Military Health Care Provider | 171000000X | 0101240230 | VA |
Addresses
Primary practice location
1802 Braeburn Dr
Salem, VA 24153-7357
Mailing address
1802 Braeburn Dr
Salem, VA 24153-7357
Phone (540) 772-3580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265513683 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, VT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Southwestern Vermont Medical Center Inc. | Pediatrics | Current | Accepting new patients |
| Southwestern Vermont Medical Center Inc. | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital, Inc | Current | Accepting new patients | |
| Northeastern Vermont Regional Hospital Inc. | Current | Accepting new patients | |
| Southwestern Vermont Medical Center, Inc | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | Accepting new patients |
Locations
859 E Melton Dr
Jay, OK 74346
Phone (918) 253-4271
1001 S 41st St E
#3
Muskogee, OK 74403
Phone (918) 687-0201
1020 Lenape Dr
Nowata, OK 74048
Phone (918) 273-0192
900 N Owen Walters Blvd
Salina, OK 74365
Phone (918) 434-8500
100 S Bliss Ave
Tahlequah, OK 74464
Phone (918) 458-3100
Dept 2269
Tulsa, OK 74182
27371 S 4410 Rd
Vinita, OK 74301
Phone (918) 256-4800
100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509
140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836
140 Hospital Dr
Ste 210
Bennington, VT 05201
Phone (802) 447-3930
97 Sherman Dr
St Johnsbury, VT 05819
Phone (802) 748-3722
Interoperability endpoints
- moriah.krason.1@3744.direct.athenahealth.com
Organizations & group practices 9
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.
-
dba NVRH St. Johnsbury Pediatrics
- Primary Care Clinic/Center
- St Johnsbury, VT
- NPI 1487732301
-
- Internal Medicine Physician
- Bennington, VT
- NPI 1184994162
Pediatrics
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- General Acute Care Hospital
- Tahlequah, OK
- NPI 1275799645
-
- Multi-Specialty Clinic/Center
- Muskogee, OK
- NPI 1841207156
-
dba NVRH Podiatry Clinic
- Podiatrist
- St Johnsbury, VT
- NPI 1710631635
-
- General Acute Care Hospital
- Bennington, VT
- NPI 1205865789
-
- General Practice Physician
- Bennington, VT
- NPI 1740682921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348185600000",
"number": "1265513683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3580",
"fax_number": "540-772-3785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 BRAEBURN DR",
"city": "SALEM",
"state": "VA",
"postal_code": "241537357",
"telephone_number": "540-772-3580",
"fax_number": "540-772-3785"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRASON",
"first_name": "MORIAH",
"middle_name": "SUSANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2012-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "VA",
"license": "0101240230",
"primary": true
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "VA",
"license": "0101240230",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265513683",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salem, VA
- Ashley Denise Kopso, PT, ATC
- Jessica Kosmann, PHARMD
- Cody Kost
- George Michael Koumaras, DDS
- Csaba Pal Kovesdy, M.D.
- Mark P Kreuter, RBT
- Timothy A Kristedja, MD
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy)
- Kroger Limited Partnership I (Kroger Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.