Cory Krueger MD PLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

36238 Issued in AZ

Legal business name

CORY KRUEGER MD PLC

Practice address

305 S Willard St
Cottonwood, AZ 86326-4127

Phone

(928) 634-7000

Fax

(928) 634-5649

NPI assigned

Jan 23, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Cory Krueger, MDNPI 1700835006

Title

Owner

Phone

(928) 634-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cory Scott Krueger, M.D.

  • Internal Medicine Physician
  • Cottonwood, AZ
  • NPI 1700835006
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902950256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 SOUTH WILLARD STREET",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "86326",
            "telephone_number": "928-634-7000",
            "fax_number": "928-634-5649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 S WILLARD ST",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863264127",
            "telephone_number": "928-634-7000",
            "fax_number": "928-634-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORY KRUEGER MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUEGER",
        "authorized_official_first_name": "CORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "19286347000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "36238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marvin L Colvin, D.O.
• Conexus.Care LLC
• Kathleen Conrad, LCSW
• Claudia Gine Converse, FNP-C
• Heather Corrion, RN
• Cottonwood Children's Dentistry
• Cottonwood Chiropractic, Inc
• Cottonwood Day Surgery Center
• Cottonwood Dental Associates PLLC
• Cottonwood Internal Medicine PC

• Internal Medicine Physician in Cottonwood, AZ
• Providers in Cottonwood, AZ by specialty
• Internal Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.