Lisa A Krumm, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35.077438 Issued in OH

Practice address

17853 State Route 31
Marysville, OH 43040-8520

Phone

(937) 578-4210

Fax

(937) 578-4220

NPI assigned

Jun 22, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lkrumm19138@copcp.medicity.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Ohio Primary Care Physicians Inc

  • Hospitalist Physician
  • Westerville, OH
  • NPI 1518398866
  NPD
• Central Ohio Primary Care Physicians, Inc.

  • Internal Medicine Physician
  • Westerville, OH
  • NPI 1194705194

  Pediatrics

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Mill Valley Pediatrics, Inc.

  • Pediatrics Physician
  • Marysville, OH
  • NPI 1174718985
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1700822236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408520",
            "telephone_number": "937-578-4210",
            "fax_number": "937-578-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17853 STATE ROUTE 31",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430408520",
            "telephone_number": "937-578-4210",
            "fax_number": "937-578-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUMM",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.077438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2777740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kracker, PA-C
• Brianne Nicole Kramer, L.P.C.
• Katelin Kreinbrink, DDS
• Frank Joseph Krivanek, PHARM D
• Justin K Krueger, M.D.
• Jodi Kulka, M.ED.
• Kassidy Brianna Kyle, LSW, MSW
• Lori Lacella
• Alyssa Laisure
• Lorie Lake

• Pediatrics Physician in Marysville, OH
• Providers in Marysville, OH by specialty
• Pediatrics Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2023; 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.