KATHERINE JANE KRUECK (NPI# 1568457273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568457273 |
| Entity Type | Individual |
| Full Name | KATHERINE JANE KRUECK |
| Credential | M.D. |
| Practice Address |
7420 Gooding Blvd Suite 100 Delaware OH 43015-7086 |
| Mailing Address |
1021 Country Club Rd Suite A Columbus OH 43213-2470 |
| Practice Telephone | 7406578000 |
| Practice Fax Number | 7406578100 |
| Mailing Telephone | 6145017337 |
| Mailing Fax Number | 6144342701 |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2011-10-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 35078939K | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2426128 | 05 |
| Street Address |
7420 GOODING BLVD SUITE 100 |
| City | DELAWARE |
| State | OH |
| Zip Code | 43015-7086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265968325 | Cynthia Lauren Ellinger | Dentist | 7420 Gooding Blvd, Suite 200, Delaware, OH 43015-7086 | 2017-05-11 |
| 1285051144 | Blake Randolph | Pediatrics | 7420 Gooding Blvd, Delaware, OH 43015 | 2014-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609414523 | Tranquility Health Care LLC | Hospice Care, Community Based | 1949 West Central Ave, Suite C, Delaware, OH 43015 | 2019-12-11 |
| 1962056416 | Kelsey Mae Mcpherson | Occupational Therapist | 494 W Central Ave Optional, Delaware, OH 43015 | 2019-08-01 |
| 1821653791 | Keyana Kelley | Optometrist | 1260 Sunbury Road, Suite B, Delaware, OH 43015 | 2019-05-07 |
| 1871009498 | Hagar Ackah-andoh | Registered Nurse | 181 Mcnamara Loop, Lewis Center, OH 43015 | 2017-12-19 |
| 1144749227 | Huzianatu Bundu | Registered Nurse | 130 Crystal Petal Drive, Delaware, OH 43015 | 2017-09-11 |
| 1093232563 | Stephanie Chappel | Occupational Therapist | 746 State Route 37, Delaware, OH 43015 | 2017-08-25 |
| 1083154066 | Angela Vinokur | Counselor | 250 S. Henry St., Delaware, OH 43015 | 2017-02-24 |
| 1437697752 | Dorita Patricia Thompson | Nurse's Aide | 88 N Sandusky Street, Delaware, OH 43015 | 2017-02-07 |
| 1750832762 | Jenni Rebecca Longo | Counselor | 88 North Sandusky St, Dlaware, OH 43015 | 2016-10-14 |
| 1851744403 | Samuel Edward Balla | Social Worker | 88 N. Sandusky St, Delaware, OH 43015 | 2016-07-19 |
| Find all providers in zip 43015 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033415344 | Roger William Park | Pediatrics | 7676 Overland Trail, Delaware, OH 43015-8318 | 2011-02-03 |
| 1821259987 | Mark A. Thoma | Pediatrics | 551 W. Central Avenue, Suite 303, Delaware, OH 43015-1493 | 2008-06-21 |
| 1437217122 | John A. Rosenfield | Pediatrics | 1201 Us Highway 23 N, Suite E, Delaware, OH 43015-8960 | 2006-12-05 |
| 1730280520 | John D Toth | Pediatrics | 7420 Gooding Boulevard, Suite 100, Delaware, OH 43015 | 2006-09-26 |
| 1568481521 | American Health Network of Ohio, LLC | Pediatrics | 104 N Union St Ste A, Delaware, OH 43015-1706 | 2006-07-19 |
| 1720019524 | Susan L Alexander | Pediatrics | 710 Home Rd, Delaware, OH 43015-8906 | 2006-07-06 |
| 1376571901 | Stephen Lee Schuler | Pediatrics | 104 N Union St Ste B, Delaware, OH 43015-1706 | 2006-06-30 |
| 1285051144 | Blake Randolph | Pediatrics | 7420 Gooding Blvd, Delaware, OH 43015 | 2014-03-27 |
| 1942520499 | Teresa Rose Recker Gross | Pediatrics | 551 W Central Ave, Suite 103, Delaware, OH 43015-1493 | 2010-06-07 |
| 1295067395 | Natalie Ann Dick | Pediatrics | 801 Ohiohealth Blvd, Ste 200, Delaware, OH 43015 | 2010-02-01 |
| Find all providers in DELAWARE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.