Active NPI
Marc Kross MD Inc
- Surgery Physician
- Kihei, HI
National Provider Identifier
1356830772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 5813
- Legal business name
- MARC KROSS MD INC
- Practice address
- 30 E Lipoa St Unit 4108
Kihei, HI 96753 - Phone
- (808) 214-6896
- NPI assigned
- May 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marc Kross, MD
- Title
- President
- Phone
- (808) 214-6896
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5813 | HI | Primary |
Addresses
Primary practice location
30 E Lipoa St Unit 4108
Kihei, HI 96753
Mailing address
10715 Downsville Pike Ste 103
Hagerstown, MD 21740-7240
Phone (301) 739-6147
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5813 | Other | HI | MEDICAL LICENSE |
Other names 1
- Kross Island Prompt Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532649600000",
"number": "1356830772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10715 DOWNSVILLE PIKE STE 103",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217407240",
"telephone_number": "301-739-6147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 E LIPOA ST UNIT 4108",
"city": "KIHEI",
"state": "HI",
"postal_code": "96753",
"telephone_number": "808-214-6896"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARC KROSS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-02",
"last_updated": "2018-07-27",
"status": "A",
"authorized_official_last_name": "KROSS",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "808-214-6896",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "HI",
"license": "5813",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "5813",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kross Island Prompt Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Kihei, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.