Mitchell Krause, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS003783-L Issued in PA

Practice address

917 Honeysuckle LN
Wynnewood, PA 19096-1649

Phone

(610) 667-1578

Fax

(610) 808-4700

NPI assigned

Jan 5, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1199491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386460800000",
    "number": "1609051937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 HONEYSUCKLE LN",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961649",
            "telephone_number": "610-667-1578",
            "fax_number": "610-808-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 HONEYSUCKLE LN",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961649",
            "telephone_number": "610-667-1578",
            "fax_number": "610-808-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAUSE",
        "first_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-05",
        "last_updated": "2013-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS003783-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tessa Kovick
• Peter R. Kowey, MD
• Christian Kraft, CRNA
• Franci R. Kraman, MD
• Andrew Maxwell Krane, MD
• Robert Leonard Krause, M.D.
• Julie K Kravets, D.O.
• Kasey Marie Krutski, PHARMD
• Robert Herbert Kuehnel, PH.D.
• Emily Kathryn Kunkel, MD

• Family Medicine Physician in Wynnewood, PA
• Providers in Wynnewood, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.