Physician Compare National (NPI:1871529198)

HEALTHCARE PROVIDER: DAVID PRICE KRAFT M.D

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1871529198
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	7012829807
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100521000740
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	KRAFT
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1976
	Individual professional's medical school graduation year
Primary Specialty	GERIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	FAMILY MEDICINE
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	FAMILY MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	10507 E 91ST ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 210
	Group Practice or individual's line 2 address
City	TULSA
	Group Practice or individual's city
State	OK
	Group Practice or individual's state
Zip Code	741335566
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	370218
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	SAINT FRANCIS HOSPITAL SOUTH, LLC
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	370091
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	SAINT FRANCIS HOSPITAL, INC
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y