Active NPI
Ellen Buerger Krumme, DC
- Chiropractor
- Mason, OH
National Provider Identifier
1447266697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2119
- Practice address
- 5770 Gateway
Suite103
Mason, OH 45040-1897 - Phone
- (513) 204-0050
- Fax
- (513) 204-7960
- NPI assigned
- Jul 31, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2119 | OH | Primary |
Addresses
Primary practice location
5770 Gateway
Suite103
Mason, OH 45040-1897
Mailing address
5770 Gateway
Suite103
Mason, OH 45040-1897
Phone (513) 204-0050
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 311500239026 | Other | OH | CARE SOURCE |
| UNITED HEATHCARE | Other | OH | 311500239 |
| 0173128 | Medicaid | OH | |
| ANTHEM BCBS | Other | OH | 000000380597 |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2119 | OH | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343779200000",
"number": "1447266697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5770 GATEWAY",
"address_2": "SUITE103",
"city": "MASON",
"state": "OH",
"postal_code": "450401897",
"telephone_number": "513-204-0050",
"fax_number": "513-204-7960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5770 GATEWAY",
"address_2": "SUITE103",
"city": "MASON",
"state": "OH",
"postal_code": "450401897",
"telephone_number": "513-204-0050",
"fax_number": "513-204-7960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRUMME",
"first_name": "ELLEN",
"middle_name": "BUERGER",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-31",
"last_updated": "2012-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "2119",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "311500239026",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "311500239",
"identifier": "UNITED HEATHCARE",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0173128",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "000000380597",
"identifier": "ANTHEM BCBS",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.