KEVIN KRUSE (NPI# 1609872811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609872811 |
| Entity Type | Individual |
| Full Name | KEVIN KRUSE |
| Credential | MD |
| Practice Address |
100 Medical Park Dr Ste 210 Concord NC 28025-2948 |
| Mailing Address |
Po Box 19305 Charlotte NC 28219-9305 |
| Practice Telephone | 7044036100 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2020-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
9600141 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1550 Faulk St, Ste 3100, Monroe, NC 281125086 | 7046673410 | |
| 888 Church St N, Concord, NC 280254350 | 7044039177 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508094137 | Kevin Karl Kruse II | Orthopaedic Surgery | 8210 Walnut Hill Ln, Ste 130, Dallas, TX 75231-4405 | 2009-06-22 |
| 1326082041 | Kevin Karl Kruse | Internal Medicine | 1 Medical Center Drive, Togus Va, Augusta, ME 04330 | 2006-06-15 |
| Street Address |
100 MEDICAL PARK DR STE 210 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-2948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700882958 | Patrick Anonick | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-06-22 |
| 1538700620 | Ashley Stewart | Nurse Practitioner | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2019-10-01 |
| 1659858330 | Krista Diiorio | Nurse Practitioner | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2018-07-25 |
| 1255829768 | Jessica Beal | Physician Assistant | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2018-04-30 |
| 1093216244 | Chris Larck | Pharmacist | 100 Medical Park Dr, Concord, NC 28025-2948 | 2018-02-23 |
| 1164948022 | Kathleen Bloom | Nurse Practitioner | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2017-08-22 |
| 1043736713 | Lauren Cartwright | Physician Assistant | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2017-08-15 |
| 1013439892 | Brittany Dillon | Nurse Practitioner | 100 Medical Park Dr, Suite 310, Concord, NC 28025-2948 | 2017-07-12 |
| 1932650892 | Kevin Hixson | Physician Assistant | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2016-10-17 |
| 1891243929 | Scott Palmer | Nurse Practitioner | 100 Medical Park Dr, Ste 110, Concord, NC 28025-2948 | 2016-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095134 | Gary Gershony | Internal Medicine | 2540 East St, Concord, CA 94520-1906 | 2005-06-30 |
| 1063701019 | Terence Hill | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2011-03-30 |
| 1710290564 | Carolinas Physicians Network Inc | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2010-07-22 |
| 1134311905 | Wayland Lim | Internal Medicine | 2485 High School Ave, Ste 100, Concord, CA 94520-1816 | 2007-08-15 |
| 1821065574 | Arie Vangemeren | Internal Medicine | 2485 High School Ave, Ste 100, Concord, CA 94520-1819 | 2006-03-01 |
| 1629045372 | Agustin John Argenal | Internal Medicine | 2485 High School Ave, Ste 100, Concord, CA 94520-1819 | 2006-03-01 |
| 1609843366 | Paul David Mcwhirter | Internal Medicine | 2485 High School Ave, Ste 100, Concord, CA 94520-1819 | 2006-03-01 |
| 1750363248 | Bay Area Cardiology Medical Group | Internal Medicine | 2222 East St, Suite 260, Concord, CA 94520-2084 | 2005-11-18 |
| 1699771774 | Christopher Kroll | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-06-23 |
| 1073519385 | Paul Campbell | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-06-22 |
| Find all providers in CONCORD | ||||
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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.