Provider Demographics
NPI:1073504221
Name:KRAUS, ERIC MARSHALL (MD, MS, FACS)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:MARSHALL
Last Name:KRAUS
Suffix:
Gender:M
Credentials:MD, MS, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27157-1000
Mailing Address - Country:US
Mailing Address - Phone:336-716-4161
Mailing Address - Fax:336-716-9440
Practice Address - Street 1:WAKE FOREST BAPTIST MEDICAL CENTER MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27157-1000
Practice Address - Country:US
Practice Address - Phone:336-716-4161
Practice Address - Fax:336-716-9440
Is Sole Proprietor?:No
Enumeration Date:2005-11-04
Last Update Date:2021-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC-26946207YX0901X
NC26946174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & Neurotology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1000046OtherUNITED HEALTHCARE
NC8950317Medicaid
NCC84993Medicare UPIN
NC8950317Medicaid