MEDICARE: DOUGLAS A KRAUSS INC

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	213EP1101X	Primary Podiatric Medicine Podiatrist	00393	MO

Other Identifiers

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

General Provider Information

NPI Number	:	1972826071
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOUGLAS A KRAUSS INC

Provider Business Mailing Address
First Line	:	11132 S TOWNE SQ STE 105
Second Line	:
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 STE 105
Second Line	:
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	:	PRESIDENT
Name	:	DR. DOUGLAS A KRAUSS
Credential	:	DPM
Telephone Number	:	314-892-1442

Provider Enumeration Date	:	03/04/2010
Last Update Date	:	07/25/2012

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Directions to “DOUGLAS A KRAUSS INC ” Practice Location

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