Thomas James Karras, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Elkhart Lake, WI
NPI 1740419019 · NPPES record last updated Jul 8, 2009
Key facts
- NPI
- 1740419019
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 18611-020 (WI)
- Practice address
- 212 S Turtle Bay
Elkhart Lake, WI 53020-1985 - Phone
- (619) 992-0007
- NPI assigned
- Jul 8, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| GFE18632 | CA | MD | Cardiovascular Disease Physician |
| 18611-020 | WI | MD | Cardiovascular Disease Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 18611-020 | WI | Yes |
| Cardiovascular Disease Physician | 207RC0000X | GFE18632 | CA |
Addresses
Primary practice location
212 S Turtle Bay
Elkhart Lake, WI 53020-1985
Mailing address
212 S Turtle Bay
Elkhart Lake, WI 53020-1985
Phone (619) 992-0007
Other providers in Elkhart Lake, WI
All providers in Elkhart Lake, WI · Cardiovascular Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.