EDWARD KRASKA (NPI# 1396106266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396106266 |
| Entity Type | Individual |
| Full Name | EDWARD KRASKA |
| Practice Address |
1200 Sixth St Suite 200 Traverse City MI 49684-2369 |
| Mailing Address |
2891 Momentum Pl Chicago IL 60689-5328 |
| Practice Telephone | 2319355800 |
| Practice Fax Number | 2319355799 |
| Mailing Telephone | 2319356080 |
| Mailing Fax Number | 2319356081 |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2018-12-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
4704289679 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1200 SIXTH ST SUITE 200 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174522429 | Steven T Mast | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2005-07-19 |
| 1457913337 | Hannah M Popa | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2019-07-01 |
| 1386000370 | Michelle Strange | Physician Assistant | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2016-01-07 |
| 1295153062 | Barbara Rogers | Obstetrics & Gynecology | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2014-03-31 |
| 1033458534 | Meghan J Visnick | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2013-02-05 |
| 1942552559 | Grand Traverse Womens Clinic | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2012-10-05 |
| 1427308626 | Sarah K Torres | Nurse Practitioner | 1200 Sixth St, Ste 400, Traverse City, MI 49684-2369 | 2012-09-14 |
| 1992081640 | Regents of The University of Michigan | Pediatrics | 1200 Sixth St, Suite 100, Traverse City, MI 49684-2369 | 2011-10-26 |
| 1821398322 | Munson Medical Group | Internal Medicine | 1200 Sixth St, Suite 200, Traverse City, MI 49684-2369 | 2010-10-30 |
| 1518286046 | John L Coatney | Internal Medicine | 1200 Sixth St, Traverse City, MI 49684 | 2010-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174525042 | Kathy Diane Reid | Nurse Practitioner | 1000 Pavillions Cir, Traverse City, MI 49684-3198 | 2005-08-11 |
| 1700391711 | Mary Clare Kurz | Nurse Practitioner | 4020 Copper Vw Ste 104, Traverse City, MI 49684 | 2017-12-13 |
| 1609229665 | Cheryl Ann Walch | Nurse Practitioner | 2950 Lafranier Rd, Traverse City, MI 49686-4918 | 2016-07-14 |
| 1548612666 | Dawn Louise Brown | Nurse Practitioner | 1000 Pavillions Cir, Traverse City, MI 49684-3198 | 2016-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942800768 | Yuri L Guzman | Nurse Practitioner | 795 N Ford Blvd, Ypsilanti, MI 48198-4116 | 2020-10-30 |
| 1144830803 | Robert Eugene Scribner IIi | Nurse Practitioner | 13913 Toepfer Rd, Warren, MI 48089-5842 | 2020-08-06 |
| 1124644661 | Denika Leflora Dalton | Nurse Practitioner | 5260 Fairway Trl, Grand Blanc, MI 48439-9445 | 2020-06-21 |
| 1780206995 | Jennifer Kay Marino | Nurse Practitioner | 20407 Mauer St, Saint Clair Shores, MI 48080-3789 | 2020-05-11 |
| 1720621709 | Kelsey Nicole Kloosterman | Nurse Practitioner | Susan P. Wheatlake Regional Cancer Center, 4499 220th Ave, Reed City, MI 49677 | 2019-10-23 |
| 1558911842 | Jomy Jose | Nurse Practitioner | 25719 Salem St, Roseville, MI 48066 | 2019-09-18 |
| 1306318498 | Ashley Marie Jacobson | Nurse Practitioner | 4100 Lake Dr Se Ste D, Grand Rapids, MI 49546-8292 | 2018-12-30 |
| 1568931673 | Jennifer Lavigne | Nurse Practitioner | 145 Michigan St Ne Ste 3300, Grand Rapids, MI 49503-2562 | 2018-11-19 |
| 1134694292 | Sheryl Ann Newton | Nurse Practitioner | 810 W South St, Kalamazoo, MI 49007-4601 | 2018-10-04 |
| 1386123180 | Alison M Sesock | Nurse Practitioner | 5202 Miller Rd Ste B, Flint, MI 48507-1040 | 2018-08-13 |
| Find all providers with the same taxonomy | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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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.