| NPI | 1336553874 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2014-06-12 |
| Last Updated | 2024-12-11 |
| Mailing Address | 5504 Tequesta Dr West Bloomfield, MI 48323-2356 United States Phone: (248) 895-9719 📍 View Map |
| Primary Practice Address | 1000 E Paris Avenue Se, Ste 130 Grand Rapids, MI 49546-3680 United States Phone: (616) 949-2001 | Fax: (616) 949-8620 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207W00000X – Ophthalmology | CO | DR0061743 |
| No | 207W00000X – Ophthalmology | WI | 5859-851 |
| No | 207W00000X – Ophthalmology | MI | 4301105291 |
| No | 207WX0009X – Ophthalmology, Glaucoma Specialist | CO | DR0061743 |
| Yes | 207WX0009X – Ophthalmology, Glaucoma Specialist | MI | 4301105291 |
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About NPI 1336553874
Roman Igorevich Krivochenitser M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1336553874. The primary specialty listed is Ophthalmology, Glaucoma Specialist. The provider is located in Grand Rapids, MI. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2014-06-12. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1336553874?
NPI 1336553874 belongs to Roman Igorevich Krivochenitser M.D., a Ophthalmology, Glaucoma Specialist in Grand Rapids, MI. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1336553874 active?
The current status of NPI 1336553874 in the NPPES registry is Active. The record was last updated on 2024-12-11.
What specialty is NPI 1336553874?
NPI 1336553874 is classified under the taxonomy Ophthalmology, Glaucoma Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1336553874?
You can verify NPI 1336553874 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1336553874?
The primary practice address on file for NPI 1336553874 is 1000 E Paris Avenue Se, Grand Rapids, MI 49546-3680. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1336553874 issued?
NPI 1336553874 was first issued (enumerated) on 2014-06-12. The NPPES record was last updated on 2024-12-11.
Practice Location Map
Roman Igorevich Krivochenitser is located at 1000 E Paris Avenue Se, Grand Rapids, MI. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Roman Igorevich Krivochenitser. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1336553874. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Ophthalmology | DR0061743 | CO |
| Ophthalmology | 5859-851 | WI |
| Ophthalmology | 4301105291 | MI |
| Ophthalmology, Glaucoma Specialist | DR0061743 | CO |
| Ophthalmology, Glaucoma Specialist | 4301105291 | MI |