Active NPI
William Gress Kraybill Jr., M.D.
- Surgical Oncology Physician
- Columbus, OH
National Provider Identifier
1982602363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- 35093341
- Practice address
- 300 W 10TH Ave
Columbus, OH 43210-1280 - Phone
- (614) 293-7171
- Fax
- (614) 293-3465
- NPI assigned
- Jul 11, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Oncology Physician | 2086X0206X | 198744 | NY | |
| Surgical Oncology Physician | 2086X0206X | 35093341 | OH | Primary |
Addresses
Primary practice location
300 W 10TH Ave
Columbus, OH 43210-1280
Mailing address
700 Ackerman Rd
Suite 350
Columbus, OH 43202-1559
Phone (614) 947-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0189611 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 198744 | NY | MD | Surgical Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Lukes Cancer Institute LLC | Surgical Oncology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Saint Lukes Physician Group II LLC | Surgical Oncology | Past | Accepting new patients |
| Saint Luke'S Hospital of Kansas City | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Prosthetic/Orthotic Supplier
- Kansas City, MO
- NPI 1700896958
-
- Surgical Oncology Physician
- Kansas City, MO
- NPI 1962458901
-
- Surgery Physician
- Kansas City, MO
- NPI 1750335337
Surgical Oncology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304380800000",
"number": "1982602363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD",
"address_2": "SUITE 350",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-947-3700",
"fax_number": "614-261-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101280",
"telephone_number": "614-293-7171",
"fax_number": "614-293-3465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRAYBILL",
"first_name": "WILLIAM",
"middle_name": "GRESS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-11",
"last_updated": "2011-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "NY",
"license": "198744",
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "OH",
"license": "35093341",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0189611",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.