DR. ERIC JOSEPH CRALL (NPI# 1114979952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114979952 |
| Entity Type | Individual |
| Full Name | DR. ERIC JOSEPH CRALL |
| Credential | M.D. |
| Practice Address |
4651 Van Dyke Rd Lutz FL 33558 |
| Mailing Address |
4953 Van Dyke Rd Lutz FL 33558 |
| Practice Telephone | 8133211783 |
| Practice Fax Number | 8779922302 |
| Mailing Telephone | 1332117838 |
| Mailing Fax Number | 8779922302 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2019-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME69527 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE NUMBER | 080115587 | 01 |
| FL | 257348200 | 05 |
| Street Address |
4651 VAN DYKE RD |
| City | LUTZ |
| State | FL |
| Zip Code | 33558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163200 | Xuan Dau | Physician Assistant | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2017-09-25 |
| 1841684487 | Jaina Morar | Physician Assistant | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2015-03-21 |
| 1205188612 | Andrea Marie Falcon | Nurse Practitioner | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2012-10-09 |
| 1760738538 | Julie Stephanie Hinojosa | Physician Assistant | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2012-07-31 |
| 1518241090 | Andrea Losi Esse | Physician Assistant | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2011-10-03 |
| 1487827416 | Suncoast Skin Solutions | Dermatology | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2008-04-10 |
| 1568650661 | Brooke Taylor Baldwin | Dermatology | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2007-10-15 |
| 1780880476 | Christopher David Ewanowski | Dermatology | 4651 Van Dyke Rd, Lutz, FL 33558-4880 | 2007-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353792 | Oral Maxillofacial and Implant Specialists, LLC | Dentist | 4675 Van Dyke Rd., Lutz, FL 33558 | 2019-02-27 |
| 1780175273 | Elder Services of Central Florida, Inc | Home Health | 17901 Hunting Bow Cir Ste 101, Lutz, FL 33558 | 2018-05-21 |
| 1356843106 | Physicial Medicine & Rehab Consultants | Clinic/Center | 18865 State Road 54 Ste 301, Lutz, FL 33558 | 2018-03-07 |
| 1376905851 | Michelle Renee Story | Contractor | 20921 Haulover Cv. #f6, Lutz, FL 33558 | 2016-03-24 |
| 1992192223 | Melissa Sonia Giblin | Specialist/Technologist, Other | 17535 Darby Ln, Lutz, FL 33558 | 2015-04-24 |
| 1396177739 | Zoe Scripts Laboratory Services LLC | Clinical Medical Laboratory | 4969 Van Dyke Rd., Lutz, FL 33558 | 2013-08-08 |
| 1649617705 | Suzanne Marie Newby | Physician Assistant | 16541 Pointe Village Dr Ste 209, Lutz, FL 33558 | 2013-05-30 |
| 1073889572 | Julie J. Mckean, Lmhc, Ncc, LLC | Counselor | 4929 Van Dyke Road, Lutz, FL 33558 | 2012-03-29 |
| 1750524864 | Sheetal Suryawanshi | Dentist | 17735 Hunting Bow Circle, Lutz, Florida, FL 33558 | 2009-04-20 |
| 1063675478 | Juan J Egas | Physical Medicine & Rehabilitation | 17807 Hunting Bow Cir, Lutz, FL 33558 | 2008-07-07 |
| Find all providers in zip 33558 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811514029 | Jenna Langford | Family Medicine | 1634 Audubon Trl, Lutz, FL 33549-9508 | 2020-07-03 |
| 1942712690 | Larry Joseph Luter | Family Medicine | 19741 Prince Benjamin Dr, Lutz, FL 33549-5018 | 2017-11-02 |
| 1033507348 | Myra C Gibson | Family Medicine | 4123 Highland Park Cir, Lutz, FL 33558-5314 | 2015-01-08 |
| 1629484373 | Rucha Kharwa Patel | Family Medicine | 18981 N Dale Mabry Hwy, Lutz, FL 33548-4981 | 2014-07-02 |
| 1427297241 | Living Wellness, LLC | Family Medicine | 19105 N Us Highway 41 Ste 200, Lutz, FL 33549-4206 | 2009-02-18 |
| 1427195809 | Myrtle Ridge Family Medicine, Pa | Family Medicine | 1539 Dale Mabry Hwy, 102, Lutz, FL 33548-3008 | 2007-02-01 |
| 1255375689 | Elisa J. Thompson | Family Medicine | 18923 State Road 54, Lutz, FL 33558-5268 | 2006-06-15 |
| 1740248384 | James A Sotrop | Family Medicine | 19021 N Dale Mabry Hwy, Lutz, FL 33548-4982 | 2006-05-03 |
| 1083672125 | Stephen Paul Meyer | Family Medicine | 18956 N Dale Mabry Hwy, Suite 102, Lutz, FL 33548-4915 | 2006-05-01 |
| 1376506394 | Jack Alton Bergh | Family Medicine | 1539 Dale Mabry Hwy Ste 102, Lutz, FL 33548 | 2006-04-10 |
| Find all providers in LUTZ | ||||
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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.