Individual provider Active NPI

Charles Krischer, M.D.

  • General Practice Physician
  • Sun City, AZ
National Provider Identifier
1336307123
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
14492 Issued in AZ
Practice address
19001 N 99TH Dr
Sun City, AZ 85373-1302
Phone
(623) 815-0593
NPI assigned
May 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 14492 AZ
General Practice Physician 208D00000X 14492 AZ Primary
General Practice Physician 208D00000X 17032 NE
General Practice Physician 208D00000X 01033275A IN

Addresses

Primary practice location

19001 N 99TH Dr
Sun City, AZ 85373-1302

Mailing address

19001 N 99TH Dr
Sun City, AZ 85373-1302
Phone (623) 815-0593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407001537 AZ Order and Referring Only - OphthalmologyPractitioner - OphthalmologyPractitioner - General Practice 1557669595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01033275AINMDGeneral Practice Physician
17032NEMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1336307123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19001 N 99TH DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731302",
            "telephone_number": "623-815-0593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19001 N 99TH DR",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853731302",
            "telephone_number": "623-815-0593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISCHER",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "14492",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "14492",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NE",
            "license": "17032",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01033275A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun City, AZ

Sources for this page

Verify at the official NPI Registry.