Ronald S. Krivosha, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO00000177 Issued in WA

Practice address

1101 Madison Street
Suite 1120
Seattle, WA 98104-2461

Phone

(206) 447-0302

Fax

(206) 682-5951

NPI assigned

Oct 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Podiatric Physicians and Surgeoans PS

  dba dr ronald krivosha

  • Podiatrist
  • Seattle, WA
  • NPI 1194919829
  NPD (past) Authorized official

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1285717215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "SUITE 1120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-447-0302",
            "fax_number": "206-682-5951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON STREET",
            "address_2": "SUITE 1120",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981042461",
            "telephone_number": "206-447-0302",
            "fax_number": "206-682-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIVOSHA",
        "first_name": "RONALD",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000177",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1010701",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LABOR AND INDUSTRIES",
            "identifier": "0059835",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elisa M Kristine, LMHC
• Melanie Kristoferson, ARNP
• Patricia Anne Kritek, M.D.
• Gordon Lee Kritzer, MD
• Anne Marie Krivens, ARNP
• Kriya Counseling PLLC
• Jill Marie Krizan, MS.,CCC-SLP
• Weston Kroes, MD
• Lukas Krogh
• Lisa A. Krogman, ARNP

• Podiatrist in Seattle, WA
• Providers in Seattle, WA by specialty
• Podiatrist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.