1396758181 NPI number — DR. STEVEN R KRAVITZ DPM

Table of content: DR. STEVEN R KRAVITZ DPM (NPI 1396758181)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396758181 NPI number — DR. STEVEN R KRAVITZ DPM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRAVITZ
Provider First Name:
STEVEN
Provider Middle Name:
R
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DPM
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396758181
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 827282
Provider Second Line Business Mailing Address:
TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Provider Business Mailing Address City Name:
PHILADELPHIA
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
19182
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
215-238-6600
Provider Business Mailing Address Fax Number:
215-629-4905

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
8TH AT RACE STREET
Provider Second Line Business Practice Location Address:
TEMPLE UNIVERSITY FOOT & ANKLE INSTITUTE
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-238-6600
Provider Business Practice Location Address Fax Number:
215-629-4905
Provider Enumeration Date:
08/14/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 213E00000X , with the licence number:  SC002061L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 231365971 . This is a "HUMANA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 31299 . This is a "AETNA OSHC" identifier . This identifiers is of the category "OTHER".
  • Identifier: 333 . This is a "ELDER HEALTH / BRAVO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 904100 . This is a "KHPE PPO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1112234 . This is a "KEYSTONE MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 231365971071 . This is a "TRICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 5588603 . This is a "HMA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: P1629481 . This is a "OXFORD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0023101000 . This is a "KHPE HMO" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 231365971 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 33Y2369 . This is a "HEALTHNET" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 558886 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: J56452 . This is a "INTER CITY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 439400 . This is a "HEALTH AMERICA HEALTH ASSURANCE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 480031463 . This is a "TRAVELERS RR MEDICARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0005588860006 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 28824 . This is a "HEALTH PARTNERS SENIOR PA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 3Y2369 . This is a "HEALTH NET" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: KR056452 . This is a "BCBS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".




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