Philip R Kreitzer, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

152920 Issued in NY

Practice address

4211 Medical Center Dr
Suite 211
Fayetteville, NY 13066-6637

Phone

(315) 329-0210

Fax

(315) 329-0215

NPI assigned

Feb 16, 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Associated Medical Professionals of Ny, PLLC

  • Urology Physician
  • Fulton, NY
  • NPI 1386062990
  NPD (past)
• Syracuse Urology Associates

  • Urology Physician
  • Syracuse, NY
  • NPI 1154368629
  NPD (past)

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

{
    "created_epoch": "1140048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1801860630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 E WATER ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101155",
            "telephone_number": "315-478-4185",
            "fax_number": "315-478-0840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4211 MEDICAL CENTER DR",
            "address_2": "SUITE 211",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130666637",
            "telephone_number": "315-329-0210",
            "fax_number": "315-329-0215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREITZER",
        "first_name": "PHILIP",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-16",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "152920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01843838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Allen Konys Jr., DMD
• Kevin Anthony Kopko, M.D.
• Bihter Korbeci, MD
• Kara C. Kort, MD
• Lynn Carol Koss, M.S. CCC-SLP
• Thomas John Krisher, PSY.D.
• Anita Joy Kristall-Sclar, M.S. CCC-SP.
• Kristin Kukenberger Dba Kukenberger Chiropractic
• Kristin Kukenberger, DC
• Jerome Laffer, D.M.D.

• Urology Physician in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Urology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.