1316348808 NPI number — DR. GEORGE THOMAS KRAUS M.D.

Table of content: DR. GEORGE THOMAS KRAUS M.D. (NPI 1316348808)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1316348808 NPI number — DR. GEORGE THOMAS KRAUS M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KRAUS
Provider First Name:
GEORGE
Provider Middle Name:
THOMAS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
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:
1316348808
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/15/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9595 W QUINCY AVE
Provider Second Line Business Mailing Address:
FCI ENGLEWOOD
Provider Business Mailing Address City Name:
LITTLETON
Provider Business Mailing Address State Name:
CO
Provider Business Mailing Address Postal Code:
80123-1159
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
303-985-1566
Provider Business Mailing Address Fax Number:
303-980-2332

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9595 W QUINCY AVE
Provider Second Line Business Practice Location Address:
FCI ENGLEWOOD
Provider Business Practice Location Address City Name:
LITTLETON
Provider Business Practice Location Address State Name:
CO
Provider Business Practice Location Address Postal Code:
80123-1159
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
303-985-1566
Provider Business Practice Location Address Fax Number:
303-980-2332
Provider Enumeration Date:
09/15/2014

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: 207R00000X , with the licence number:  0021002 , registered in the state of CO ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 0021002 . This is a "COLORADO LICENSE" identifier , issued by the state of ( CO ) . This identifiers is of the category "OTHER".




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