MARK MALOY KRAUSE (NPI# 1750341962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750341962 |
| Entity Type | Individual |
| Full Name | MARK MALOY KRAUSE |
| Credential | DPM |
| Practice Address |
Corner of Route N12 and N7 Fort Defiance AZ 86504 |
| Mailing Address |
Po Box 649 Fort Defiance AZ 86504-0649 |
| Practice Telephone | 9287298825 |
| Mailing Telephone | 9287298825 |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-05-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 1321 | TX | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS OF TEXAS | 0061CM | 01 |
| TX | 092733701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316043383 | Mark C Krause | Dentist | 560 Riverside Dr, Suite A205, Salisbury, MD 21801-4700 | 2006-09-16 |
| 1841219557 | Mark S Krause | Anesthesiology | 3333 Riverbend Dr, Springfield, OR 97477-8800 | 2006-07-19 |
| 1063430544 | Mark Douglas Krause | Anesthesiology | 500 E 51st St, Suite 7047, Chicago, IL 60615-2400 | 2006-07-17 |
| 1386695609 | Mark Gradwell Krause | Chiropractor | 2345 Fletcher Pkwy, El Cajon, CA 92020-2134 | 2006-05-12 |
| Street Address |
CORNER OF ROUTE N12 AND N7 |
| City | FORT DEFIANCE |
| State | AZ |
| Zip Code | 86504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040577 | John R Thompson | Orthopaedic Surgery | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2005-06-01 |
| 1194348524 | Shanna Michelle George | Respiratory Therapist, Registered | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0589 | 2020-05-20 |
| 1265077267 | Stanislava Manojlovic | Pharmacist | Corner of Route N12 and N7, Fort Defiance Indian Hospital Board, Inc., Fort Defiance, AZ 86504-0649 | 2019-11-13 |
| 1033767371 | Dakota Kay | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-08-29 |
| 1053964452 | Jenny Dietz | Nurse Practitioner | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2019-07-24 |
| 1386296648 | Tessa Tahereh Facer | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-16 |
| 1346892056 | Amanda Barnes | Physician Assistant | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2019-07-12 |
| 1295206779 | Craig Amidon Fox | Physical Therapist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-12-10 |
| 1134698517 | Christa Lee | Advanced Practice Midwife | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2018-11-15 |
| 1518440007 | Ethan Curleyhair | Dentist | Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807664 | Clifford Charles | Pharmacist | Corners of Route 7&12, Fort Defiance, AZ 86504 | 2020-10-06 |
| 1720605207 | Christopher A Will | Registered Nurse | 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 | 2020-06-30 |
| 1750904207 | Crystal Salaz | Respiratory Therapist, Registered | Corner of Roue N12 and N7, Fort Defiance, AZ 86504 | 2020-05-19 |
| 1003451600 | Rebecca Reeve | Pharmacist | Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 | 2019-11-07 |
| 1851947485 | David Glen Webb | Pharmacist | Hwy 12 Nr 110, Fort Defiance, AZ 86504 | 2019-08-09 |
| 1952963647 | Eukerison Bobby Tsinajinie | Counselor | .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 | 2019-07-02 |
| 1770145567 | Joann Tso I | Counselor | 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 | 2019-07-02 |
| 1174185961 | James Leslie | Counselor | 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 | 2019-07-02 |
| 1184192163 | Miranda Frances Blatchford | Social Worker | .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 | 2018-11-07 |
| 1477030914 | Michelle Rosario | Dietitian, Registered | Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 | 2018-07-27 |
| Find all providers in zip 86504 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992869093 | James Edward Zelichowski | Podiatrist | Corner of Route N12 and N7, Fort Defiance, AZ 86504-0649 | 2006-12-21 |
| 1871663617 | Craig W Meyer | Podiatrist | Corner of Route N12 and N7, Fort Defiance Phs Hospital, Fort Defiance, AZ 86504 | 2006-11-09 |
| 1437138898 | Pierre Gladner Desrosiers | Podiatrist | Corner of Rt N12 and N7, Fort Defiance, AZ 86504-0649 | 2006-01-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456447 | Foot & Ankle Specialists of Arizona | Podiatrist | 14973 W Bell Rd Ste 110, Surprise, AZ 85374-3236 | 2020-08-04 |
| 1144838368 | Stocks Podiatry LLC | Podiatrist | 3229 E Malapai Dr, Phoenix, AZ 85028-4954 | 2020-07-14 |
| 1619592896 | Dr Kimble Foot Specialist, P.l.l.c. | Podiatrist | 522 N Central Ave Ste 831, Phoenix, AZ 85004-2185 | 2020-06-12 |
| 1760006290 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 600 S Dobson Rd Ste E40, Chandler, AZ 85224-5693 | 2020-06-01 |
| 1144840273 | Modern Foot & Ankle Centers, Pllc | Podiatrist | 2680 S Val Vista Dr Ste 177, Gilbert, AZ 85295-1674 | 2020-04-18 |
| 1518420777 | Gfservices, Pllc | Podiatrist | 5352 E Estevan Rd, Phoenix, AZ 85054-7211 | 2019-04-12 |
| 1811463946 | Jeffrey E. Mcalister, Pllc | Podiatrist | 7301 E 2nd St Ste 206, Scottsdale, AZ 85251-5610 | 2018-10-16 |
| 1457835829 | Prompt Foot and Ankle Pllc | Podiatrist | 9046 N 28th St, Phoenix, AZ 85028-4703 | 2018-09-20 |
| 1770941353 | Rachel A. Janowicz, Dpm, Pllc | Podiatrist | 11539 N 128th Pl, Scottsdale, AZ 85259-3530 | 2016-02-10 |
| 1497179006 | R & T Foot & Ankle | Podiatrist | 13065 W. Mcdowell Rd., Suite C101, Avondale, AZ 85392 | 2014-02-18 |
| Find all providers with the same taxonomy | ||||
| City | FORT DEFIANCE |
| Zip Code | 86504 |
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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.