Organization Active NPI

Michael L Kravetz, MD, PLC

  • Physical Medicine & Rehabilitation Physician
  • Glendale, AZ
National Provider Identifier
1609112051
Registry record updated Dec 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20238 Issued in AZ
Legal business name
MICHAEL L KRAVETZ, MD, PLC
Practice address
13460 N 67TH Ave
Glendale, AZ 85304-1000
Phone
(623) 878-8800
Fax
(623) 878-5254
NPI assigned
Dec 12, 2012
Last updated
Dec 12, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2012

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

Authorized official

Name
Dr. Michael Louis Kravetz, MDNPI 1952323446
Title
Physician
Phone
(623) 878-8800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 20238 AZ Primary

Addresses

Primary practice location

13460 N 67TH Ave
Glendale, AZ 85304-1000

Mailing address

13460 N 67TH Ave
Glendale, AZ 85304-1000
Phone (623) 878-8800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355270400000",
    "number": "1609112051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13460 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041000",
            "telephone_number": "623-878-8800",
            "fax_number": "623-878-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13460 N 67TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041000",
            "telephone_number": "623-878-8800",
            "fax_number": "623-878-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L KRAVETZ, MD, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-12",
        "last_updated": "2012-12-12",
        "status": "A",
        "authorized_official_last_name": "KRAVETZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "623-878-8800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "20238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.