Thomas a Krupko MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35048994 Issued in OH

Legal business name

THOMAS A KRUPKO MD INC

Doing business as

Alliance Orthopaedic and Sports Medicine Center

Practice address

149 E Simpson St
Alliance, OH 44601-4219

Phone

(330) 823-4424

Fax

(330) 823-1179

NPI assigned

Dec 13, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Samuel R Suitca

Title

Office Administrator

Phone

(330) 823-4424

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ALLIANCE ORTHOPAEDIC AND SPORTS MEDICINE CENTER Doing business as

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1275694325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 E SIMPSON ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014219",
            "telephone_number": "330-823-4424",
            "fax_number": "330-823-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 E SIMPSON ST",
            "city": "ALLIANCE",
            "state": "OH",
            "postal_code": "446014219",
            "telephone_number": "330-823-4424",
            "fax_number": "330-823-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS A KRUPKO MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SUITCA",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "330-823-4424",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35048994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0612626",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALLIANCE ORTHOPAEDIC AND SPORTS MEDICINE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Alliance, OH
• Providers in Alliance, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.