NPIMap

Organization Active NPI

Stuart B. Krost M.D.P.a.

  • Specialist
  • Port St Lucie, FL
National Provider Identifier
1922396761
Registry record updated Nov 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0061951 Issued in FL
Legal business name
STUART B. KROST M.D.P.A.
Practice address
1903 S.E. Port St. Lucie Blvd
Port St. Lucie, FL 34952
Phone
(561) 296-2220
NPI assigned
Jul 14, 2011
Last updated
Nov 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2011

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

Authorized official

Name
Stuart B Krost, MDNPI 1831143312
Title
Owner
Phone
(561) 296-2220

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103888 FL
Medical Physician Assistant 363AM0700X PA9103862 FL
Specialist 174400000X ME0061951 FL Primary

Addresses

Primary practice location

1903 S.E. Port St. Lucie Blvd
Port St. Lucie, FL 34952

Mailing address

3618 Lantana Rd
Suite 201
Lake Worth, FL 33462-2246
Phone (561) 296-2220

National Provider Directory

National Provider Directory
Tax ID family
Stuart B Krost MD PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1922396761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3618 LANTANA RD",
            "address_2": "SUITE 201",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334622246",
            "telephone_number": "561-296-2220",
            "fax_number": "561-296-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 S.E. PORT ST. LUCIE BLVD",
            "city": "PORT ST. LUCIE",
            "state": "FL",
            "postal_code": "34952",
            "telephone_number": "561-296-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART B. KROST M.D.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "KROST",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-296-2220",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103888",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103862",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME0061951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.

Verify at the official NPI Registry.