Marsha Krouk, DO

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

OS005155L Issued in PA

Practice address

1 Medical Center Blvd.
Suite 403 CCMC Pob 1 Marsha Krouk D.O.
Upland, PA 19013

Phone

(610) 490-7980

Fax

(215) 635-0745

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263168000000",
    "number": "1295817781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD.",
            "address_2": "SUITE 403 CCMC POB 1 MARSHA KROUK D.O.",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-490-7980",
            "fax_number": "215-635-0745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL CENTER BLVD.",
            "address_2": "SUITE 403 CCMC POB 1 MARSHA KROUK D.O.",
            "city": "UPLAND",
            "state": "PA",
            "postal_code": "19013",
            "telephone_number": "610-490-7980",
            "fax_number": "215-635-0745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUK",
        "first_name": "MARSHA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2010-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "05005155L",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS005155L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fnu Komaldeep Kaur, MD
• Pei Ann Kong, M.D.
• Joel Krackow, MD
• Carrie Kresge, MD
• Craig G Kriza, DPM
• Glenn A. Ladinsky, M.D., PH.D.
• John P Lamond, MD
• Kenneth R Lander, M.D.
• Holly M Langmuir, M.D
• James D Lebedda, MD

• Gynecology Physician in Upland, PA
• Providers in Upland, PA by specialty
• Gynecology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2010; 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.