THOMAS CROCETTI (NPI# 1174159032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174159032 |
| Entity Type | Individual |
| Full Name | THOMAS CROCETTI |
| Credential | DO |
| Practice Address |
2401 S 31st St Temple TX 76508-0001 |
| Practice Telephone | 2547242111 |
| Enumeration Date | 2020-03-22 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS MEDICAL BOARD | BP10070915 | 01 |
| Street Address |
2401 S 31ST ST |
| City | TEMPLE |
| State | TX |
| Zip Code | 76508-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650651 | Kathleen G Halka | Internal Medicine | 2401 S 31st St, Temple, TX 76508 | 2005-06-22 |
| 1720689060 | Christy Evans | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-11-03 |
| 1588264683 | Giuseppe Tavilla | Surgery | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-28 |
| 1942809884 | Crystal Das | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Temple, TX 76508-0001 | 2020-10-21 |
| 1730795766 | Joshua R Ledezma | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-09-15 |
| 1437762069 | Caroline Stanley | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-08-24 |
| 1841809191 | Deanette James | Registered Nurse | 2401 S 31st St, Temple, TX 76508-0001 | 2020-07-23 |
| 1285259309 | Amanda Lea Johnson | Nurse Practitioner | 2401 S 31st St, Temple, TX 76508-0001 | 2020-06-15 |
| 1013539758 | Brittany Ellis | Physical Therapist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-15 |
| 1114549508 | Matthew Marvin Galland | Pharmacist | 2401 S 31st St, Temple, TX 76508-0001 | 2020-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
| 1790311850 | Chinyere Ashley Onyirimba | Student in an Organized Health Care Education/Training Program | Baylor Scott & White Medical Center - Temple, 2401 South 31st Street, Ms-ag-303h, Temple, TX 76508 | 2020-03-19 |
| 1578022398 | Kedric Glenn | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-11-ag062, Temple, TX 76508 | 2019-03-19 |
| 1518426592 | Muhammad Imran Bhatti | Student in an Organized Health Care Education/Training Program | Baylor Scott and White Medical Center-temple 2401, South 31st Street Ms-01-161b, Temple, TX 76508 | 2019-03-18 |
| 1780143883 | Nathaniel Clayton Palmer | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-s2-663 Temple, Texas 76508, Temple, TX 76508 | 2019-03-18 |
| 1235620741 | Fahmida Musharof | Student in an Organized Health Care Education/Training Program | 2401 S 31st Street, Ms-ck-300, Temple, TX 76508 | 2018-05-21 |
| 1275038325 | Robert Casey Alan Finch | Student in an Organized Health Care Education/Training Program | 2401 S 31st St, Ms-ck-300, Temple, TX 76508 | 2018-03-29 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386255586 | Chelsey Werchan | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms 22103e, Temple, TX 76508-0001 | 2020-08-11 |
| 1619596491 | Samuel Adrian Matthys | Student in an Organized Health Care Education/Training Program | 2401 South 31st St, Ms-ag-407q, Temple, TX 76508 | 2020-04-13 |
| 1508495698 | Swasti Gyawali | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, C/o Kessiah Foster Ms-ck-300, Temple, TX 76508-0001 | 2020-04-02 |
| 1649808775 | Renita Aby Thomas | Student in an Organized Health Care Education/Training Program | 2401 S 31st St Ms-ck-300, Temple, TX 76508-0001 | 2020-04-01 |
| 1538797907 | Anthony Nguyen | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-01-610a, Temple, TX 76508-0001 | 2020-03-31 |
| 1700414968 | Darshan Patel | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street, Ms-ck-300-kessiah Foster, Temple, TX 76508 | 2020-03-31 |
| 1275160467 | Michaela Ann Marziale | Student in an Organized Health Care Education/Training Program | South 31st Street Ms -22-117d, Temple, TX 76508-0001 | 2020-03-26 |
| 1992332134 | Kiersi Harmon | Student in an Organized Health Care Education/Training Program | 2401 South 31st Street Ms-ag-303h, Baylor Scott & White Medical Center-temple, Temple, TX 76508 | 2020-03-26 |
| 1366079865 | Caleb Davis | Student in an Organized Health Care Education/Training Program | 2401 S 31st St # Ms -35500, Temple, TX 76508-0001 | 2020-03-25 |
| 1053948851 | Christian Beltran | Student in an Organized Health Care Education/Training Program | 2410 South 31st Street, Ms 01 161b, Temple, TX 76508 | 2020-03-24 |
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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.