Active NPI
Thomas J Kraczon, DPM
- Podiatrist
- Pittsburgh, PA
National Provider Identifier
1346304128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC001599L
- Practice address
- 1515 E Carson St
Suite 1
Pittsburgh, PA 15203 - Phone
- (412) 381-4360
- Fax
- (412) 381-4361
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC001599L | PA | Primary |
Addresses
Primary practice location
1515 E Carson St
Suite 1
Pittsburgh, PA 15203
Mailing address
1515 E Carson St
Suite 1
Pittsburgh, PA 15203
Phone (412) 381-4360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346304128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E CARSON ST",
"address_2": "SUITE 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15203",
"telephone_number": "412-381-4360",
"fax_number": "412-381-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E CARSON ST",
"address_2": "SUITE 1",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15203",
"telephone_number": "412-381-4360",
"fax_number": "412-381-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRACZON",
"first_name": "THOMAS",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC001599L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.