Active NPI
Stephen Joseph Kracht, D.O,.
- Occupational Medicine Physician
- Overland Park, KS
National Provider Identifier
1831211077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- 05-23847
- Practice address
- 7500 W 110TH St
#500
Overland Park, KS 66210-2352 - Phone
- (912) 327-5915
- Fax
- (913) 234-4585
- NPI assigned
- Apr 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | 05-23847 | KS | Primary |
Addresses
Primary practice location
7500 W 110TH St
#500
Overland Park, KS 66210-2352
Mailing address
7500 W 110TH St
#500
Overland Park, KS 66210-2352
Phone (912) 327-5915
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05-23847 | Other | KS | STATE LICENSE NUMBER |
| R7J20 | Other | MO | STATE LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05-23847 | KS | MD | Occupational Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of the City of Bainbridge and Decatur County | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Bainbridge, GA
- NPI 1053388256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831211077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 W 110TH ST",
"address_2": "#500",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102352",
"telephone_number": "912-327-5915",
"fax_number": "913-234-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 W 110TH ST",
"address_2": "#500",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662102352",
"telephone_number": "912-327-5915",
"fax_number": "913-234-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRACHT",
"first_name": "STEPHEN",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "D.O,.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "KS",
"license": "05-23847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "05-23847",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "R7J20",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.