DOUGLAS A KRAUSE M.D. NPI 1275519183

NPI Information

NPI: 1275519183
Provider Name: DOUGLAS A KRAUSE, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
1979 HOLLAND AVE
SUITE C
PORT HURON, MI
ZIP 48060
Phone: (810) 982-1200
Get Directions

Douglas A Krause, M.D. is a geriatric medicine family medicine in Port Huron, MI. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Douglas A Krause, M.D. NPI is 1275519183. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1979 HOLLAND AVE
SUITE C
PORT HURON, MI
ZIP 48060-639
Phone: (810) 982-1200
Fax: (810) 982-6990

The enumeration date for this NPI number is 12/22/2005 and was last updated on 12/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207QG0300X	Family Medicine	Geriatric Medicine	4301035998	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	4691650	MEDICAID	MICHIGAN
2	A76961	MEDICARE UPIN	MICHIGAN
3	0P08380003	MEDICARE ID-TYPE UNSPECIFIED	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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