Stephan Kraeling, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

01053284A Issued in IN

Practice address

600 Wilson Creek Rd
Lawrenceburg, IN 47025-2751

Phone

(812) 496-8776

Fax

(812) 537-9145

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: skraeling333935@direct-prd.stelizabeth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Health Services Corporation of Southeastern Indiana

  • Prosthetic/Orthotic Supplier
  • Lawrenceburg, IN
  • NPI 1033417829
  NPD (past)
• Rising Sun Medical Center Inc

  • Family Medicine Physician
  • Rising Sun, IN
  • NPI 1124072137
  NPD (past)

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1366411308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "593-012-4408",
            "fax_number": "859-301-2493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 WILSON CREEK RD",
            "city": "LAWRENCEBURG",
            "state": "IN",
            "postal_code": "470252751",
            "telephone_number": "812-496-8776",
            "fax_number": "812-537-9145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "98 Elm St",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "IN",
            "postal_code": "470252048",
            "country_code": "US",
            "telephone_number": "812-537-5759",
            "fax_number": "812-537-9974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Village Dr",
            "address_purpose": "LOCATION",
            "city": "Edgewood",
            "state": "KY",
            "postal_code": "410173403",
            "country_code": "US",
            "telephone_number": "859-301-2440",
            "fax_number": "859-301-2493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAELING",
        "first_name": "STEPHAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "55961",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "TP286",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01053284A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200280100",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0625309",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Klann, APNP
• Kelly Kluener, DPT
• Alan R. Kohlhaas, M.D.
• Lara Jean Komon, M.A.
• Michelle Koren, LPN
• Kroger Limited Partnership I
• Robert John Kurzhals, PH.D.
• Sarah Lacey-Horine, PSY.D.
• Pamela S Lague, LSW
• Ronda Lambert, LMHC

• All providers in Lawrenceburg, IN
• Obstetrics & Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.