NPIMap

Organization Active NPI

Kratz Allergy Asthma & Immunology Associates PA

  • Allergy & Immunology Physician
  • Port Richey, FL
National Provider Identifier
1891789293
Registry record updated Apr 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
0062584 Issued in FL
Legal business name
KRATZ ALLERGY ASTHMA & IMMUNOLOGY ASSOCIATES PA
Practice address
8202 Washington St
Port Richey, FL 34668-6679
Phone
(727) 819-1610
Fax
(727) 868-0596
NPI assigned
Aug 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2010

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

Authorized official

Name
Jaime I Kratz, MDNPI 1851391411
Title
President
Phone
(727) 819-1610

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207K00000X 0062584 FL Primary

Addresses

Primary practice location

8202 Washington St
Port Richey, FL 34668-6679

Mailing address

8202 Washington St
Port Richey, FL 34668-6679
Phone (727) 819-1610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071102000374 FL Part B Supplier - Clinic/Group Practice 0941397210 Receives reassigned benefits from 4 practitioners
Practice locations: Odessa, FL; Port Richey, FL; Spring Hill, FL

National Provider Directory

National Provider Directory

Locations

11031 US Highway 19
Ste 102
Port Richey, FL 34668
Phone (727) 819-1610

8202 Washington St
Ste 4
Port Richey, FL 34668
Phone (561) 254-0787

8202 Washington St
Port Richey, FL 34668
Phone (727) 819-1610

11127 County Line Rd
Spring Hill, FL 34609
Phone (352) 247-8921

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1891789293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8202 WASHINGTON ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686679",
            "telephone_number": "727-819-1610",
            "fax_number": "727-868-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8202 WASHINGTON ST",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346686679",
            "telephone_number": "727-819-1610",
            "fax_number": "727-868-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRATZ ALLERGY ASTHMA & IMMUNOLOGY ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-31",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "KRATZ",
        "authorized_official_first_name": "JAIME",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-819-1610",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "0062584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.