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DR. JOHN JUDE KRUSE M.D. NPI 1215920855


NPI Information

NPI: 1215920855
Provider Name: DR. JOHN JUDE KRUSE, M.D.
Classification: Neurological Surgery - 207T00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1520 GAUSE BLVD
SLIDELL, LA
ZIP 70458
Phone: (985) 646-0945
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DR. John Jude Kruse, M.D. is a neurological surgery in Slidell, LA. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. DR. John Jude Kruse, M.D. NPI is 1215920855. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1520 GAUSE BLVD
SLIDELL, LA
ZIP 70458-208
Phone: (985) 646-0945
Fax: (985) 643-8510

The NPI 1215920855 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2005 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207T00000XNeurological Surgery22519MISSISSIPPINo
2207T00000XNeurological SurgeryMD0000031606TENNESSEENo
3207T00000XNeurological Surgery2013003221MISSOURINo
4207T00000XNeurological Surgery10605RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12150375OTHERMISSISSIPPICIGNA
25158737OTHERMISSISSIPPIAETNA
308876201MEDICAIDMISSISSIPPI
41904791OTHERMISSISSIPPIUNITED HEALTHCARE OF MS
5972784OTHERMISSISSIPPIWINDSOR
6P01206664OTHERMISSISSIPPIRAILROAD MEDICARE
7H00316OTHERMISSISSIPPIHEALTHSPRING
83841586MEDICAIDTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.