Healthcare Provider Details

I. General information

NPI: 1740676592
Provider Name (Legal Business Name): KRISSA M PYRCH D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISSA MARY RATLIFF

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 E ELM ST
GRAHAM NC
27253-3022
US

IV. Provider business mailing address

214 E ELM ST
GRAHAM NC
27253-3022
US

V. Phone/Fax

Practice location:
  • Phone: 336-226-2448
  • Fax: 336-226-5894
Mailing address:
  • Phone: 336-226-2448
  • Fax: 336-226-5894

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2026-01164
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number70502-21
License Number StateWI
# 4
Primary TaxonomyN
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number70502-21
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: