Mary Elaine Krosse, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36002297 Issued in OH

Legal business name

MARY ELAINE KROSSE, DPM

Practice address

860 E Broad St
Elyria, OH 44035-6542

Phone

(440) 322-4220

Fax

(440) 322-4713

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Mary Elaine Krosse, DPM

Title

Owner

Phone

(440) 322-4220

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• M. ELAINE KROSSE, DPM Other name

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12101/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275955200000",
    "number": "1295917318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356542",
            "telephone_number": "440-322-4220",
            "fax_number": "440-322-4713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 E BROAD ST",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440356542",
            "telephone_number": "440-322-4220",
            "fax_number": "440-322-4713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY ELAINE KROSSE, DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2010-06-08",
        "status": "A",
        "authorized_official_last_name": "KROSSE",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-322-4220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36002297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. MUT. OF OHIO/SELECT",
            "identifier": "42587891",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED. MUT. OF OHIO/GMCS",
            "identifier": "8333415578",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000116728",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480006005",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0644379",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M. ELAINE KROSSE, DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Steven Marks, BSCJ,CDCA
• Lara E Marsh, MD
• Laurel Marshall, DMD, MS
• Colleen F Martin-Telfer, LSW
• Alisa Marvin, PA-C
• Ramiz Masri, M.D.
• Michael Mastrangelo
• Shelle Mathis, L.P.C.C.
• Matthias Helfrich O.D. Inc
• Michelle Marie Mattingly

• Podiatrist in Elyria, OH
• Providers in Elyria, OH by specialty
• Podiatrist in Ohio

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