Individual provider Active NPI

Kenneth R Kretchmer, MD

  • Pulmonary Disease Physician
  • Akron, OH
National Provider Identifier
1891787313
Registry record updated Oct 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
35-039871 Issued in OH
Practice address
95 Arch Street
Suite 210
Akron, OH 44304-1437
Phone
(330) 253-1411
Fax
(330) 253-1720
NPI assigned
Aug 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 35-03-9871-K OH
Pulmonary Disease Physician 207RP1001X 35-039871 OH Primary

Addresses

Primary practice location

95 Arch Street
Suite 210
Akron, OH 44304-1437

Mailing address

95 Arch Street
Suite 210
Akron, OH 44304-1437
Phone (330) 253-1411

Other identifiers 1

IdentifierTypeStateIssuer
0434328MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-039871OHMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPCS Inc Pulmonary Disease Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319155200000",
    "number": "1891787313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH STREET",
            "address_2": "SUITE 210",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041437",
            "telephone_number": "330-253-1411",
            "fax_number": "330-253-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH STREET",
            "address_2": "SUITE 210",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041437",
            "telephone_number": "330-253-1411",
            "fax_number": "330-253-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETCHMER",
        "first_name": "KENNETH",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2011-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35-03-9871-K",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OH",
            "license": "35-039871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0434328",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.