Jonathan Kraas in South Bend - Diagnostic Radiology
Jonathan Kraas - NPI 1104904812
Jonathan Kraas is a Diagnostic Radiology in South Bend, Indiana. Jonathan Kraas practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Jonathan Kraas is 1104904812. The last update date is 2022-05-31.
Jonathan Kraas's current location address is 211 N Eddy St, South Bend, Indiana. You can contact this provider via phone number 5742046209. The mailing address for Jonathan Kraas is 211 N Eddy St, South Bend, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Kraas |
|---|---|
| Address | 211 N Eddy St, South Bend, Indiana |
| Phone Number | 5742046209 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104904812 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2022-05-31 |
Provider Mailing Address Detail
| Address | 211 N Eddy St |
|---|---|
| City | South Bend |
| State | Indiana (IN) |
| Post Code | 466172808 |
| Phone Number | 5742046209 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Diagnostic Radiology |
|---|---|
| Taxonomy | 2085R0202X |
| Licence No | 28090 |
|
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200949250 | IN | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Jonathan Kraas by the Centers for Medicare & Medicaid Services?
The Jonathan Kraas has been issued the NPI (National Provider Identifier) 1104904812. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jonathan Kraas's facilities are geographically located?
The facilities of Jonathan Kraas are physically situated at the following location: 211 N Eddy St, South Bend, IN, 466172808.
What is Jonathan Kraas's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jonathan Kraas is Diagnostic Radiology, and the taxonomy code that categorizes this field of expertise is 2085R0202X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104904812 to Jonathan Kraas?
The Jonathan Kraas received its 1104904812 assignment from the Centers for Medicare & Medicaid Services on 2006-11-01.
As of what date was the information regarding Jonathan Kraas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jonathan Kraas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-05-31.