Stephen P Kroth, DO

Primary specialty

Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X

License

OS015703 Issued in PA

Practice address

1781 West 26TH Street
Erie, PA 16508

Phone

(814) 480-8960

Fax

(814) 480-8970

NPI assigned

Sep 17, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

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

Practice roles

Locations

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

• Erie Physicians Network-Upmc,Inc

  • Family Medicine Physician
  • Erie, PA
  • NPI 1366726259
  Medicare reassignment NPD

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1710136429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 WEST 26TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-480-8960",
            "fax_number": "814-480-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 WEST 26TH STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16508",
            "telephone_number": "814-480-8960",
            "fax_number": "814-480-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROTH",
        "first_name": "STEPHEN",
        "middle_name": "P",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "PA",
            "license": "OKO000039",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "PA",
            "license": "OS015703",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS015703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Archana Krishnan
• Kristen Huber LPC,CT
• Henry C Krol Jr., LPC CAC DIPLOMATE
• Iisha Amber Marie Kromer, M.ED.
• Joy M Kronenberger, MSW
• William J Krowinski Jr., MSW PHD
• Jeanine Krugger
• Jared D Krugh, DO
• David Kruszewski
• Nicole Krystoff, PA-C

• Neuromusculoskeletal Medicine & OMM Physician in Erie, PA
• Providers in Erie, PA by specialty
• Neuromusculoskeletal Medicine & OMM Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; 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.