Myron K Krueger MD PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

6319 Issued in ME

Legal business name

MYRON K KRUEGER MD PA

Practice address

331 Maine Street
Suite 24
Brunswick, ME 04011

Phone

(207) 729-0161

Fax

(207) 721-9199

NPI assigned

Oct 11, 2006

Reactivated

Nov 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Myron Keith Krueger, MD

Title

Owner

Phone

(207) 729-0161

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Karen Emma Guiou, FNP

  • Family Nurse Practitioner
  • Richmond, ME
  • NPI 1386732329
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194566400000",
    "number": "1801984844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 MAINE STREET",
            "address_2": "SUITE 24",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-729-0161",
            "fax_number": "207-721-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 MAINE STREET",
            "address_2": "SUITE 24",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "04011",
            "telephone_number": "207-729-0161",
            "fax_number": "207-721-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRON K KRUEGER MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2007-11-09",
        "deactivation_date": "2007-02-13",
        "reactivation_date": "2007-11-09",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "MYRON",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-729-0161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1041452",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS OF ME",
            "identifier": "0018296",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ursula M Munro, FNPC
• Elizabeth M Munsey-Deguisto, LCPC
• Wayne R Munsey, LADC, CCS
• Caterina Murphy, LMT
• Margaret S Murphy, ARNP
• Ryan Thomas Nadeau, D.C.
• Steve Nadeau, P.T.
• David B Nagler, MD
• Roy Nakamura, MD
• Nicole Nalchajian, MD

• Internal Medicine Physician in Brunswick, ME
• Providers in Brunswick, ME by specialty
• Internal Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.