Kreptowski Family Practice LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

34-00-6419K Issued in OH

Legal business name

KREPTOWSKI FAMILY PRACTICE LLC

Practice address

6509 Frank Ave NW
North Canton, OH 44720-7265

Phone

(330) 244-0480

Fax

(330) 244-2230

NPI assigned

Feb 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dianne Kreptowski, D.O.NPI 1679681282

Title

Owner, Physician

Phone

(330) 244-0480

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12074/brand/1/csg/1/fhir/r4

Practitioners 3

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

• Dianne Kreptowski, D.O.

  • Family Medicine Physician
  • North Canton, OH
  • NPI 1679681282
  Medicare reassignment NPD Authorized official
• Mara Bowman, PA

  • Physician Assistant
  • Wheeling, WV
  • NPI 1821425109

  OH

  Medicare reassignment
• Diana Brewster, DO

  • Family Medicine Physician
  • Canton, OH
  • NPI 1992889851
  NPD

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1922277656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 FRANK AVENUE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "44720",
            "telephone_number": "330-244-0480",
            "fax_number": "330-244-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207265",
            "telephone_number": "330-244-0480",
            "fax_number": "330-244-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KREPTOWSKI FAMILY PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "KREPTOWSKI",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "OWNER, PHYSICIAN",
        "authorized_official_telephone_number": "330-244-0480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-00-6419K",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Nicole Kraft, DC
• Heidi Krah, OTR/L
• Christine Mary Kramer
• Michelle L Kramer, LPTA
• Barbara Jean Kraynik, PT
• Dianne Kreptowski, D.O.
• Hannah Nicole Kriehbaum, COTA/L
• Sheila R Kries, PT
• Trudy G Krischak, LPTA
• Ramesh Krishnamurthi, MD

• Family Medicine Physician in North Canton, OH
• Providers in North Canton, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.