Myron K Krueger MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6319 Issued in ME

Legal business name

MYRON K KRUEGER MD PA

Practice address

765 High Street
Bath, ME 04530

Phone

(207) 443-4010

Fax

(207) 721-9199

NPI assigned

Dec 6, 2007

Last updated

Dec 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Myron Keith Krueger, MD

Title

Owner

Phone

(207) 729-0161

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1196899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1699958249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAINE STREET",
            "address_2": "SUITE 24",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-729-0161",
            "fax_number": "207-721-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 HIGH STREET",
            "city": "BATH",
            "state": "ME",
            "postal_code": "04530",
            "telephone_number": "207-443-4010",
            "fax_number": "207-721-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON K KRUEGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-06",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-729-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1041452",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "0018296",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikolas Mitsopoulos, PHARMD, RPH
• Rok Andre Morin, D.C.
• Danielle Morrill
• Eric Edward Morse, RPH
• Rebecca Anne Murray-Littlefield, LCSW
• Nycole Evangeline Nadeau, DENTAL HYGIENIST
• Ruth Bangs Nawrocki, COTA/L
• Nfi North, Inc (Oliver Place)
• Miranda Nicely, FNP-C
• George Niemann, PH.D.

• Internal Medicine Physician in Bath, ME
• Providers in Bath, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.