Christopher Krug, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001605-1 Issued in NY

Practice address

60 Eagleville Road
Montgomery County Correctional Facility
Eagleville, PA 19403-0000

Phone

(610) 635-7100

NPI assigned

Jan 30, 2006

Last updated

Oct 10, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Physician Assistant

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Montgomery Dermatology

  • Dermatology Physician
  • Lansdale, PA
  • NPI 1083685739
  NPD (past)
• Dermatology and Cosmetic Surgery Institute, PC

  • MOHS-Micrographic Surgery Physician
  • Fort Washington, PA
  • NPI 1043485600
  NPD (past)

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1316918097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 JUSTIN CT",
            "city": "COLLEGEVILLE",
            "state": "PA",
            "postal_code": "194264131",
            "telephone_number": "610-831-2294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 EAGLEVILLE ROAD",
            "address_2": "MONTGOMERY COUNTY CORRECTIONAL FACILITY",
            "city": "EAGLEVILLE",
            "state": "PA",
            "postal_code": "194030000",
            "telephone_number": "610-635-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "001605-1",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA003322L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Johnson
• Susan Kane, PH.D., CCC-SLP
• Maryann Kelly, PT
• Marisa Kling
• Frances Krouse, MSPT
• Roman Krutikov, PA-C
• Kairavi Kedar Kulkarni, MS, RD, LDN
• Mary Ann Leary, DO
• Stephanie Lee, M.A. CCC-SLP
• Richard Kenneth Lescavage

• Physician Assistant in Eagleville, PA
• Providers in Eagleville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.