Martin Hans Krag

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

042-0006594 Issued in VT

Practice address

158 Hurricane LN
Spine Institute of New England/Fahc
Williston, VT 05495

Phone

(802) 847-9005

Fax

(802) 847-6278

NPI assigned

Jul 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902839954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 CROOKED CREEK RD",
            "city": "COLCHESTER",
            "state": "VT",
            "postal_code": "054467574",
            "telephone_number": "802-656-4472",
            "fax_number": "802-656-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 HURRICANE LN",
            "address_2": "SPINE INSTITUTE OF NEW ENGLAND/FAHC",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-847-9005",
            "fax_number": "802-847-6278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAG",
        "first_name": "MARTIN",
        "middle_name": "HANS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "VT",
            "license": "042-0006594",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00719902",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005260",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Beth Kinneston, P.T.
• Elinor Kirk, PT, DPT
• Sarah Kitchen, BCABA
• Marvin Klikunas, MD
• KPH Healthcare Services, Inc. (Healthdirect Institutional Pharmacy Services, Inc.)
• Subhash Raj Krishnaraaj, DDS
• Brynn Kusiak, PT
• Ilya Kvartin, DMD
• Elizabeth R Ladd, RN
• Smita Lahoti, M.B.B.S.

• Orthopaedic Surgery of the Spine Physician in Williston, VT
• Providers in Williston, VT by specialty
• Orthopaedic Surgery of the Spine Physician in Vermont

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.