WILLIAM BROCK KRETSINGER (NPI# 1346270915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346270915 |
| Entity Type | Individual |
| Full Name | WILLIAM BROCK KRETSINGER |
| Other Name | W BROCK KRETSINGER |
| Credential | DO |
| Practice Address |
1301 W 12th Ave Ste 202 Emporia KS 66801 |
| Mailing Address |
1301 W 12th Ave Ste 202 Emporia KS 66801-2589 |
| Practice Telephone | 6203432900 |
| Practice Fax Number | 6203426520 |
| Mailing Telephone | 6203432900 |
| Mailing Fax Number | 6203426520 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2018-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 19185 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100229490B | 05 |
| Street Address |
1301 W 12TH AVE STE 202 |
| City | EMPORIA |
| State | KS |
| Zip Code | 66801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508811241 | Woodrow Timothy Duncan | Internal Medicine | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-05-23 |
| 1639692916 | Cortney Mahony | Nurse Practitioner | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2017-07-19 |
| 1134242415 | Joan Priscilla Grother | Nurse Practitioner | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2007-04-09 |
| 1245348267 | Susan M Ward | Nurse Practitioner | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-08-29 |
| 1255361820 | Rachel Anne Duncan | Internal Medicine | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539141 | Tina Marie Andrade | Counselor | 1500 Graphic Arts Road, Emporia, KS 66801 | 2018-02-26 |
| 1669918637 | Paden Bradley Eveland | Physical Medicine & Rehabilitation | 1 Kellogg Circle Emporia State University, Emporia, KS 66801 | 2017-01-13 |
| 1932501467 | Emily Prouse | Dietitian, Registered | 1 Kellogg Circle 250 Se Morse Hall, Emporia, KS 66801 | 2014-09-16 |
| 1407278112 | Kansas Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1215 Merchant St, Emporia, KS 66801 | 2014-01-15 |
| 1508105800 | Smith Agency LLC | In Home Supportive Care | 4245 W. Hwy 50, Emporia, KS 66801 | 2013-02-06 |
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1457511321 | Amanda Lee Ruxton | Family Medicine | 1301 W 12th Ave Ste 101, Emporia, KS 66801 | 2008-06-13 |
| 1821262049 | Qi Qiao Joina Wu | Counselor | 115 West 5th Street, Emporia, KS 66801 | 2008-04-18 |
| 1013189703 | Kelly Elizabeth Long | Counselor | 115 W 5th, Emporia, KS 66801 | 2008-04-02 |
| 1851586275 | Hyun Chan Shin | Counselor | 115 5th Ave, Emporia, KS 66801 | 2007-09-10 |
| Find all providers in zip 66801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891060919 | Gould Coates Garcia | Internal Medicine | 2014 Canterbury Rd, Emporia, KS 66801 | 2012-03-22 |
| 1649297516 | Wynne V Legrow | Internal Medicine | 201 Weaver Ave, Emporia, VA 23847-1248 | 2006-07-16 |
| 1881624468 | James Melvin Geitz | Internal Medicine | 1301 West 12th Ave, Ste 202, Emporia, KS 66801-0970 | 2006-07-03 |
| 1508811241 | Woodrow Timothy Duncan | Internal Medicine | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-05-23 |
| 1093133019 | Flycatcher Inpatient Services, LLC | Internal Medicine | 727 N Main St, Emporia, VA 23847-1274 | 2014-04-07 |
| 1366675910 | Charisse Nicole Symmonds | Internal Medicine | 1301 W 12th Ave, Emporia, KS 66801-2587 | 2009-08-31 |
| 1730346669 | Alana K, Longwell | Internal Medicine | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2587 | 2008-05-19 |
| 1285818229 | Fitzgerald Marcelin Sr. | Internal Medicine | 702 N Main St, Emporia, VA 23847-1242 | 2007-12-27 |
| 1255361820 | Rachel Anne Duncan | Internal Medicine | 1301 W 12th Ave Ste 202, Emporia, KS 66801-2589 | 2006-07-03 |
| 1417984618 | Scott A Smiley | Internal Medicine | 1301 W 12th Ave, Suite 401, Emporia, KS 66801-2587 | 2006-06-26 |
| Find all providers in EMPORIA | ||||
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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.