Katherine Jane Krueck, MD | |
7420 Gooding Blvd Ste 100, Delaware, OH 43015-7086 | |
(740) 657-8000 | |
(740) 657-8100 |
Full Name | Katherine Jane Krueck |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 7420 Gooding Blvd Ste 100, Delaware, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568457273 | NPI | - | NPPES |
2426128 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35078939K (Ohio) | Primary |
Entity Name | Dayton Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730392309 PECOS PAC ID: 5496792418 Enrollment ID: O20050412000416 |
Mailing Address | Practice Location Address |
---|---|
Katherine Jane Krueck, MD 1021 Country Club Rd Unit A, Columbus, OH 43213-2484 Ph: (641) 501-7337 | Katherine Jane Krueck, MD 7420 Gooding Blvd Ste 100, Delaware, OH 43015-7086 Ph: (740) 657-8000 |
Emily Sentman, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
David Robert Stukus, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-722-6200 | |
Elizabeth Anne Claxton, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Gregory B Stewart, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 7853 Pacer Dr, Delaware, OH 43015 Phone: 614-355-7900 | |
Blake Randolph, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 7420 Gooding Blvd, Delaware, OH 43015 Phone: 740-657-8000 | |
Dr. Natalie Ann Dick, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 801 Ohiohealth Blvd, Ste 200, Delaware, OH 43015 Phone: 740-615-0270 Fax: 740-615-0279 | |
Stephen L Schuler, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 104 N Union St Ste B, Delaware, OH 43015 Phone: 740-362-3696 Fax: 740-362-5010 |