DR. JEFFERY D. KROLL (NPI# 1073509188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073509188 |
| Entity Type | Individual |
| Full Name | DR. JEFFERY D. KROLL |
| Credential | MD |
| Practice Address |
1905 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Practice Telephone | 2542982682 |
| Practice Fax Number | 2547787197 |
| Mailing Telephone | 2542982682 |
| Mailing Fax Number | 2547787197 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | H0537 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 123033604 | 05 |
| Street Address |
1905 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410439 | Austin Wei Chang | Ophthalmology | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2005-07-11 |
| 1730645995 | Collins Family Pharmacy LLC | Pharmacy | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-02-13 |
| 1497230395 | Jennifer Smith | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-27 |
| 1093245854 | Jocelyn Cheung | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2017-06-14 |
| 1740736347 | Christie Lyn Torres | Nurse Practitioner | 1905 Sw H K Dodgen Loop, 1700 Brazos, Rockdale Tx 76567, Temple, TX 76502-1814 | 2016-09-01 |
| 1174977516 | Preston Neal Martin | Physical Therapist | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2016-04-22 |
| 1336544758 | Lindsey Nicole Willis | Nurse Practitioner | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-28 |
| 1699179465 | Little River Medical Group | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-10-22 |
| 1093121741 | Little River Medical Group | Family Medicine | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2014-07-02 |
| 1679904577 | Rockdale Blackhawk LLC | Durable Medical Equipment & Medical Supplies | 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2013-12-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497733984 | Lester P Wang | Urology | 1901 Veterans Memorial Dr # 112, Temple, TX 76504-7451 | 2006-01-04 |
| 1104274174 | Jacob Carl Smith | Urology | 2401 S 31st St, Temple, TX 76508-0001 | 2016-05-31 |
| 1962839399 | Kim Huynh Thai | Urology | 2401 S 31st St, Temple, TX 76508-3011 | 2013-09-30 |
| 1619239274 | Marawan El Tayeb | Urology | 2401 S 31st St, Temple, TX 76508-1239 | 2012-06-11 |
| 1629338330 | Hoang Kim Thi Le | Urology | 2401 S 31st St, Temple, TX 76508-0001 | 2012-05-29 |
| 1629168778 | Stephanie Elizabeth Harris | Urology | 2401 S 31st St, Temple, TX 76508 | 2006-10-12 |
| 1437262417 | Richard Clement Klugo | Urology | 1901 S 1st St, Temple, TX 76504-7451 | 2006-08-16 |
| 1104832096 | Parikshit P Pandya | Urology | 1901 S 1st St, Temple, TX 76504-7451 | 2006-07-31 |
| 1548275399 | John C Wurster | Urology | 1901 S 1st St, Temple, TX 76504-7451 | 2006-07-30 |
| 1174562714 | Kristofer Ross Wagner | Urology | 2401 S 31st St, Temple, TX 76508-0001 | 2006-06-06 |
| Find all providers in TEMPLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.