NPIMap

Organization Active NPI

Stuart B Krost MD PA

  • Specialist
  • Lake Worth, FL
National Provider Identifier
1295922573
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME6195 Issued in FL
Legal business name
STUART B KROST MD PA
Practice address
3618 Lantana Rd
201
Lake Worth, FL 33462-2246
Phone
(561) 296-2220
Fax
(561) 296-1022
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Authorized official

Name
Stuart B Krost, M.D.NPI 1831143312
Title
Owner
Phone
(561) 296-2220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X ME6195 FL Primary
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA9103862 FL
Medical Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363AM0700X PA9103888 FL

Addresses

Primary practice location

3618 Lantana Rd
201
Lake Worth, FL 33462-2246

Mailing address

3618 Lantana Rd
201
Lake Worth, FL 33462-2246
Phone (561) 296-2220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071030000611 FL Part B Supplier - Clinic/Group Practice 9638266109 Receives reassigned benefits from 2 practitioners
Practice locations: Fort Myers, FL; Port Saint Lucie, FL; Lake Worth, FL; Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Stuart B Krost Mdpa8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

7300 NW 5th St
#A
Plantation, FL 33317
Phone (561) 296-2220

7731 N Military Trl
Ste 1
West Palm Beach, FL 33410
Phone (561) 296-2220

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322784000000",
    "number": "1295922573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD",
            "address_2": "201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622246",
            "telephone_number": "561-296-2220",
            "fax_number": "561-296-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD",
            "address_2": "201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622246",
            "telephone_number": "561-296-2220",
            "fax_number": "561-296-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART B KROST MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2011-12-02",
        "status": "A",
        "authorized_official_last_name": "KROST",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-296-2220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME6195",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103862",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103888",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Worth, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.