Healthcare Provider Details

I. General information

NPI: 1447909577
Provider Name (Legal Business Name): JONATHAN FRIAR KROSS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HOSPITAL WAY
BUTLER PA
16001-4670
US

IV. Provider business mailing address

PO BOX 641031
PITTSBURGH PA
15264-1031
US

V. Phone/Fax

Practice location:
  • Phone: 724-283-6666
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD494836
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: