Lisa Marie Krupka, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

04-43502 Issued in KS

Practice address

311 E Spruce St Ste 3B
Garden City, KS 67846-5685

Phone

(620) 275-3740

Fax

(620) 275-3761

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1508087107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST STE 3B",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465685",
            "telephone_number": "620-275-3740",
            "fax_number": "620-275-3761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E SPRUCE ST STE 3B",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465685",
            "telephone_number": "620-275-3740",
            "fax_number": "620-275-3761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E Williams Ave.",
            "address_2": "Suite #3306",
            "address_purpose": "LOCATION",
            "city": "Fallon",
            "state": "NV",
            "postal_code": "894068360",
            "country_code": "US",
            "telephone_number": "775-867-7770",
            "fax_number": "775-867-7773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRUPKA",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301089332",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "51331-20",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NV",
            "license": "15090",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-43502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gillian Kohlhorst, ARNP
• Justin R Kohlhorst, DDS
• Thomas L Koksal, MD
• Kris Reimer OD, LLC
• Kate Krug
• Brittney D Kuhlman
• Shivanna V Kumar, M.D.
• Kurt Kessler M.D. P.C.
• Zeidy Karina Landeros
• Christopher Alan Lane, DO

• Surgery Physician in Garden City, KS
• Providers in Garden City, KS by specialty
• Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.