Stephen Mordecai Kreitzer, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

ME0022412 Issued in FL

Practice address

2919 W Swann Ave
Suite 105
Tampa, FL 33609-4038

Phone

(813) 877-5337

Fax

(813) 872-0284

NPI assigned

Apr 21, 2006

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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 Medicine

State licenses

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1659337491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-877-5337",
            "fax_number": "813-872-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 W SWANN AVE",
            "address_2": "SUITE 105",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336094038",
            "telephone_number": "813-877-5337",
            "fax_number": "813-872-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITZER",
        "first_name": "STEPHEN",
        "middle_name": "MORDECAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME0022412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03176900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "290013562",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "29895",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "21066038",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew C Krause, ATC
• Theresa Krause, PT
• Amanda Jo Krausert, M.D.
• Natalya Cerbito Kravatz, OD
• Joseph Orville Krebs, M.D.
• Anna Marie Kresek, M.S., CCC-SLP
• Taylor Ann Kress, PA-C
• Tracy Suzanne Kretzmer, PH.D.
• Paula Nicole Kreutzer
• Jeffrey Nicolas Kriegl, APRN

• Pulmonary Disease Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pulmonary Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2009; 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.