MICHAEL D KRAUSS (NPI# 1922095769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922095769 |
| Entity Type | Individual |
| Full Name | MICHAEL D KRAUSS |
| Credential | MD |
| Practice Address |
1411 S Creasy Ln Suite 120 Lafayette IN 47905-7438 |
| Mailing Address |
Po Box 4699 Lafayette IN 47903-4699 |
| Practice Telephone | 7654474165 |
| Practice Fax Number | 7654475939 |
| Mailing Telephone | 7654492732 |
| Mailing Fax Number | 7654491196 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2020-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
01037755A | IN | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 01037755A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM PROVIDER NUMBER | 000000382416 | 01 |
| IN | 200536400 | 05 |
| Street Address |
1411 S CREASY LN SUITE 120 |
| City | LAFAYETTE |
| State | IN |
| Zip Code | 47905-7438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174058507 | Lisa M Smith | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2017-04-24 |
| 1255887600 | Emily Martin | Physical Therapy Assistant | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-08-26 |
| 1881148708 | Rebecah Gray | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2016-08-09 |
| 1306294772 | Erica Zartman | Physical Therapist | 1411 S Creasy Ln, Ste 100, Lafayette, IN 47905-7438 | 2016-05-26 |
| 1689053779 | Gusta Michelle Owens | Specialist/Technologist | 1411 S Creasy Ln, Ste 120, Lafayette, IN 47905-7438 | 2015-05-22 |
| 1285024273 | Mary Ritter | Occupational Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2015-01-28 |
| 1275933707 | Danielle Smith Amos | Physical Therapy Assistant | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-09-03 |
| 1275957938 | Sara E Blasing | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-02-14 |
| 1144642612 | Jessica Baumetz Dpt | Physical Therapist | 1411 S Creasy Ln, Suite 100, Lafayette, IN 47905-7438 | 2014-01-17 |
| 1306277561 | Teri Harrison | Specialist/Technologist, Other | 1411 S Creasy Ln, Suite 120, Lafayette, IN 47905-7438 | 2013-12-12 |
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| 1538719893 | Elements Counseling LLC | Social Worker | 115 N. Farabee Drive, Lafayette, IN 47905 | 2019-09-18 |
| 1134596869 | Indiana Dental Sleep Therapy LLC | Dentist | 4921 Sr 26 E, Suite 300, Lafayette, IN 47905 | 2015-08-28 |
| 1255750899 | Emily S Miller | Physical Therapist | 1701 Creasy Ln, Lafayette, IN 47905 | 2014-04-10 |
| 1073876215 | Nathan Webster | Dentist | 1530 Kossuth St., Lafayette, IN 47905 | 2012-06-22 |
| 1578848370 | Mark Jin Kim | Pharmacist | 1801 South St., Lafayette, IN 47905 | 2011-10-13 |
| 1700177185 | Shannon Tawn Harris | Speech-Language Pathologist | 8900 Cobbler Lane, Lafayette, IN 47905 | 2011-04-20 |
| 1508164484 | David Thomas Beine | Specialist/Technologist | 1321 Unity Pl Ste A, Lafayette, IN 47905 | 2011-03-02 |
| 1447569538 | Deidre Dudley | Nurse Practitioner | 1701 S Creasy Ln Ste 1w93, Lafayette, IN 47905 | 2010-10-07 |
| 1548493067 | Unity Healthcare, LLC | Podiatrist | 750 Park East Blvd, Unit 4, Lafayette, IN 47905 | 2009-09-01 |
| 1073762969 | Lynette Marie Alexander | Nurse Practitioner | 5500 St Rd. 38 East, Lafayette, IN 47905 | 2008-09-16 |
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| Taxonomy Code | 207RS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Sports Medicine |
| An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1538191036 | Bloomington Bone & Joint Clinic, PC | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403-2123 | 2006-07-07 |
| 1770570616 | Gregory A Rowdon | Internal Medicine | 900 N John R Wooden Dr, West Lafayette, IN 47907-2117 | 2005-10-05 |
| 1053712570 | Purdue Sports Medicine Wl | Internal Medicine | 900 John R Wooden Drive, Mackey Arena, West Lafayette, IN 47907 | 2014-09-16 |
| 1629321229 | Mary Apiafi Moore | Internal Medicine | 3512 S Lafountain St, Kokomo, IN 46902-3803 | 2012-10-19 |
| 1245506922 | Thomas A Brady Sports Medicine Ctr | Internal Medicine | 1401 W County Line Rd, Greenwood, IN 46142-5195 | 2012-03-28 |
| 1811049380 | Erich J Weidenbener | Internal Medicine | 639 S Walker St, Suite E, Bloomington, IN 47403 | 2007-01-17 |
| 1255446399 | Stephen Howard Montaldi | Internal Medicine | 1007 N 16th St, New Castle, IN 47362-4319 | 2006-08-20 |
| 1295741981 | Jared W. Jones | Internal Medicine | 2610 Enterprise Dr, Anderson, IN 46013-9684 | 2006-08-01 |
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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.