Thomas Kenneth Ksiazek, MSAT, LAT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

854 Issued in NE

Practice address

1115 S Cottonwood St
North Platte, NE 69101-6108

Phone

(308) 568-7456

NPI assigned

Nov 9, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• North Platte Nebraska Hospital Corporation

  • Medical Oncology Physician
  • North Platte, NE
  • NPI 1134355332
  NPD (past)
• North Platte Nebraska Hospital Corporation

  • General Acute Care Hospital
  • North Platte, NE
  • NPI 1700855533
  NPD (past)

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1851804041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 S YORK AVE",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016279",
            "telephone_number": "402-276-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S COTTONWOOD ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691016108",
            "telephone_number": "308-568-7456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "North Platte",
            "state": "NE",
            "postal_code": "691013652",
            "country_code": "US",
            "telephone_number": "402-276-6590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KSIAZEK",
        "first_name": "THOMAS",
        "middle_name": "KENNETH",
        "credential": "MSAT, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Krueger
• Krull Clinic, PC
• Christopher N Krull, DPT
• Rochelle D Krull
• Shane Kryzsko, CRNA
• Kendra Kay Kugler
• Paul Kuhlman, PA
• Neallene Kuhlmann
• Brett Kuhn, MPAS
• Anil Kumar

• Athletic Trainer in North Platte, NE
• Providers in North Platte, NE by specialty
• Athletic Trainer in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.