Marshall R. Krug, BA, LMT, NCTMB

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA 39823 Issued in FL

Practice address

3042 N Federal Hwy
Suite 201
Fort Lauderdale, FL 33306-1400

Phone

(954) 232-0147

Fax

(954) 563-1079

NPI assigned

May 24, 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)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1831144963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3042 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061400",
            "telephone_number": "954-232-0147",
            "fax_number": "954-563-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3042 N FEDERAL HWY",
            "address_2": "SUITE 201",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061400",
            "telephone_number": "954-232-0147",
            "fax_number": "954-563-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUG",
        "first_name": "MARSHALL",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "BA, LMT, NCTMB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "MA 39823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "688384200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Priya Krishnakumar, PHD, RDN, LDN
• Kristofer Chenard MD PLLC
• Frances Myers Krohn, LCSW
• Dana Marie Kromke, MS
• Henry W Kronner, PH.D.
• Ikna Krysiak, D.O.
• Fairley Ann Lennor Gariando Kua, RPT
• Laura M Kubat, PHD
• Judith A Kuchta
• Elizabeth Kudelka, AU.D.

• Specialist in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.