MEDICARE: DR. DOUGLAS ALAN KRAUSS D.P.M.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213E00000X	Podiatrist	000393	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	086006	OTHER		EXCLUSIVE CHOICE
2	4332751	OTHER		AETNA
3	T42870	OTHER		MERCY HEALTH PLANS
4	27002007	OTHER		UNITED HEALTH CARE
5	32525	OTHER		GROUP HEALTH PLAN
6	000000011740	OTHER		ESSENCE
7	9850	OTHER	MO	BLUE CROSS BLUE SHIELD
8	106164	OTHER		HEALTHLINK

General Provider Information

NPI Number	:	1144223959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DOUGLAS ALAN KRAUSS D.P.M.

Provider Business Mailing Address
First Line	:	11132 S TOWNE SQ
Second Line	:	STE 105
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-7818
Country	:	US
Telephone Number	:	314-892-1442
Fax Number	:	314-892-4523

Provider Business Practice Location Address
First Line	:	11132 S TOWNE SQ
Second Line	:	STE 105
City	:	SAINT LOUIS
State	:	MO
Zip	:	63123-7818
Country	:	US
Telephone Number	:	314-892-1442
Fax Number	:	314-892-4523

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	01/03/2014

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Directions to “ DR. DOUGLAS ALAN KRAUSS D.P.M.” Practice Location

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