Eric Ladenheim, M.D.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

G847370 Issued in CA

Practice address

6145 N Thesta St
Fresno, CA 93710-5266

Phone

(559) 446-1065

Fax

(559) 272-5009

NPI assigned

Jun 1, 2005

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 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

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.

• Juergen P. Krauthammer, MD, Inc

  • Surgery Physician
  • Fresno, CA
  • NPI 1063642866
  NPD (past)

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1467454686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-446-1065",
            "fax_number": "559-272-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6145 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-446-1065",
            "fax_number": "559-272-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LADENHEIM",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G847370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "16-1648232",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G847370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlemagne Lacza, MS, PHARMD
• Amber Sarah Ladd, MA, CCC-SLP, BCBA
• Mark Eugene Ladd
• Shaylali Ladd
• Joshua Joseph Ladella
• Christine Liberty Ladra
• Amanda Laeno, CADTP 19770
• Kelani Matalasi Lafaele
• Michele Morgan Laffen, LMFT
• Cynthia Yesenia Lafrance

• Vascular Surgery Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Vascular Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.