Individual provider Active NPI

Gloria Jean Krason, DPM

  • Podiatrist
  • Chicopee, MA
National Provider Identifier
1598731093
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
MA1938 Issued in MA
Practice address
5 Spring St
Chicopee, MA 01013
Phone
(413) 594-4747
Fax
(413) 594-6746
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X MA1938 MA Primary

Addresses

Primary practice location

5 Spring St
Chicopee, MA 01013

Mailing address

5 Spring St
Chicopee, MA 01013
Phone (413) 594-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060406000180 MA Practitioner - Podiatry 4082623814 Practice locations: Agawam, MA; Chicopee, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA1938MAMDPodiatrist

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1598731093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SPRING ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01013",
            "telephone_number": "413-594-4747",
            "fax_number": "413-594-6746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SPRING ST",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "01013",
            "telephone_number": "413-594-4747",
            "fax_number": "413-594-6746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRASON",
        "first_name": "GLORIA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MA",
            "license": "MA1938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicopee, MA

Sources for this page

Verify at the official NPI Registry.