Active NPI
Randy Owen Kritzer, M.D.
- Neurological Surgery Physician
- Greensboro, NC
National Provider Identifier
1508859745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 39005
- Practice address
- 1130 N Church St
Suite 200
Greensboro, NC 27401-1038 - Phone
- (336) 272-4578
- Fax
- (336) 272-5931
- NPI assigned
- Aug 23, 2005
- Last updated
- May 9, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 39005 | NC | |
| Neurological Surgery Physician | 207T00000X | 39005 | NC | Primary |
Addresses
Primary practice location
1130 N Church St
Suite 200
Greensboro, NC 27401-1038
Mailing address
225 Baldwin Ave
Charlotte, NC 28204-3109
Phone (704) 376-1605
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 895033A | Medicaid | NC |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39005 | NC | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nova Neurosurgical, P a | Specialist | Past | Accepting new patients |
| Carolina Neurosurgery, PA | Specialist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Greensboro, NC
- NPI 1699737726
-
- Specialist
- Greensboro, NC
- NPI 1437140647
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1399593600000",
"number": "1508859745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 BALDWIN AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043109",
"telephone_number": "704-376-1605",
"fax_number": "704-335-8448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 N CHURCH ST",
"address_2": "SUITE 200",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011038",
"telephone_number": "336-272-4578",
"fax_number": "336-272-5931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRITZER",
"first_name": "RANDY",
"middle_name": "OWEN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2014-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NC",
"license": "39005",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NC",
"license": "39005",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "895033A",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.