Steven L Karassik MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

M5900 Issued in ID

Legal business name

STEVEN L KARASSIK MD PA

Practice address

191 5TH St West
Ketchum, ID 83340

Phone

(208) 725-2171

Fax

(208) 725-2015

NPI assigned

May 14, 2008

Last updated

May 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven L Karassik, M.D.NPI 1891748117

Title

Owner

Phone

(208) 725-2171

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Steven L Karassik, MD

  • Dermatology Physician
  • Ketchum, ID
  • NPI 1891748117
  Authorized official Same address or phone

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210723200000",
    "number": "1386811826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 893",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "833400893",
            "telephone_number": "208-725-2171",
            "fax_number": "208-725-2015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 5TH ST WEST",
            "city": "KETCHUM",
            "state": "ID",
            "postal_code": "83340",
            "telephone_number": "208-725-2171",
            "fax_number": "208-725-2015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN L KARASSIK MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2008-05-14",
        "status": "A",
        "authorized_official_last_name": "KARASSIK",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-725-2171",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ID",
            "license": "M5900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002718400",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St Lukes Medical Center Woodriver LTD (St Lukes Woodriver Internal Medicine)
• St Lukes Wood River Medical Center LTD (St Lukes Woodriver Swingbeds)
• St Lukes Wood River Medical Center LTD (St Lukes Wood River Medical Center)
• Eugene Walter Steiner, RPH
• Aaron Stern, D.C.
• Haley Stevens
• Jenny Ann Stireman, FNP
• Mariah Elise Stout, RD
• Gary Strachan, M.D.
• Laurie Strand, MSW, LCSW

• Specialist in Ketchum, ID
• Providers in Ketchum, ID by specialty
• Specialist in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; 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.