Active NPI
Kenneth R Kretchmer, MD
- Pulmonary Disease Physician
- Akron, OH
National Provider Identifier
1891787313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 35-039871
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0434328 | Medicaid | OH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-039871 | OH | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NPCS Inc | Pulmonary Disease | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Pulmonary Disease Physician
- Akron, OH
- NPI 1184670192
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.