Paul Spencer Kruger, M. D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

117005 Issued in NY

Practice address

10 Eaton St
Suite 201
Hamilton, NY 13346-1124

Phone

(315) 824-2651

Fax

(315) 824-4011

NPI assigned

Sep 13, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386749422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EATON ST",
            "address_2": "SUITE 201",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461124",
            "telephone_number": "315-824-2651",
            "fax_number": "315-824-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EATON ST",
            "address_2": "SUITE 201",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133461124",
            "telephone_number": "315-824-2651",
            "fax_number": "315-824-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUGER",
        "first_name": "PAUL",
        "middle_name": "SPENCER",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "117005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00458508",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Caitlin Ann Lamison-Myers, PT, DPT
• April Lamunion
• Ellen M Larson, M.D.

• All providers in Hamilton, NY
• Obstetrics & Gynecology Physician in New York

• 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.

Verify at the official NPI Registry.