Hendrikus G Krouwer, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

36347 Issued in WI

Practice address

2350 N Lake Dr. Ste G01
CSM Cancer Center-Milwaukee
Milwaukee, WI 53211-4528

Phone

(414) 298-7250

NPI assigned

May 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

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.

• Prohealth Medical Group Inc

  • Family Medicine Physician
  • Waukesha, WI
  • NPI 1790720613
  NPD (past)

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1770534513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 N LAKE DR. STE G01",
            "address_2": "CSM CANCER CENTER-MILWAUKEE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114528",
            "telephone_number": "414-298-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 N LAKE DR. STE G01",
            "address_2": "CSM CANCER CENTER-MILWAUKEE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114528",
            "telephone_number": "414-298-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROUWER",
        "first_name": "HENDRIKUS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "WI",
            "license": "36347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "002000173O",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32110400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Kronenberg, R.PH.
• Eric L. Kroner, MD
• Jacqueline Kroner, NP
• Kronz Chiropractic Group LLC
• Spencer Michael Kronz, DC
• Kate Buretta Krucoff, M.D.
• Max O Krucoff, MD
• Virginia Margaret Krueger - Thor, APNP
• Nancy E. Krueger Staniszewski, PH.D.
• Brian Arthur Krueger, PTA

• Neurology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Neurology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.