Provider Demographics
NPI:1124056395
Name:KRAUSS, RICHARD K (MD)
Entity type:Individual
Prefix:
First Name:RICHARD
Middle Name:K
Last Name:KRAUSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WALNUT ST
Mailing Address - Street 2:15TH FLOOR
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-5176
Mailing Address - Country:US
Mailing Address - Phone:215-807-8000
Mailing Address - Fax:
Practice Address - Street 1:800 WALNUT ST
Practice Address - Street 2:15TH FLOOR
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-5176
Practice Address - Country:US
Practice Address - Phone:215-807-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2016-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021724E207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0052786000OtherKEYSTONE, IBC
PA063311OtherHIGHMARK BLUE SHIELD
PA2807255OtherAETNA HMO
PA810345326OtherPHCS
PA01896171-03OtherAMERICHOICE
PA160056129OtherRAILROAD MEDICARE
PA0018961710001Medicaid
PA0018961710003Medicaid
PA1554780OtherUNITED HEALTHCARE
PA1164411OtherKEYSTONE MERCY
PA2807255OtherAETNA PPO
PA33630OtherHEALTH PARTNERS
PA01896171-02OtherAMERICHOICE FRANKFORD DIV
PA063311OtherPERSONAL CHOICE
PA0018961710004Medicaid
PA7316974OtherCIGNA
PA0018961710002Medicaid
PA01896171-03OtherAMERICHOICE TORRESDALE DI
PA1164411OtherKEYSTONE MERCY
PA0018961710002Medicaid