Provider Demographics
NPI:1881609725
Name:PICKERT, HARPER AND KRANTZ, PA
Entity type:Organization
Organization Name:PICKERT, HARPER AND KRANTZ, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRIMARY CARE PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:KRANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-271-4333
Mailing Address - Street 1:100 SOUTH CENTER ST
Mailing Address - Street 2:
Mailing Address - City:THURMONT
Mailing Address - State:MD
Mailing Address - Zip Code:21788-1910
Mailing Address - Country:US
Mailing Address - Phone:301-271-4333
Mailing Address - Fax:301-271-7486
Practice Address - Street 1:100 S CENTER ST
Practice Address - Street 2:
Practice Address - City:THURMONT
Practice Address - State:MD
Practice Address - Zip Code:21788-1910
Practice Address - Country:US
Practice Address - Phone:301-271-4333
Practice Address - Fax:301-271-7486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDK586Medicare PIN