CRAWFORD COUNTY CLINIC PC (NPI# 1457305047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457305047 |
| Entity Type | Organization |
| Organization Name | CRAWFORD COUNTY CLINIC PC |
| Practice Address |
1820 Highway 30 East Denison IA 51442 |
| Practice Telephone | 7122636116 |
| Practice Fax Number | 7122636115 |
| Mailing Telephone | 7122636116 |
| Mailing Fax Number | 7122636115 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DAVID M TANCRETI (PRESIDENT PHYSICIAN) |
| Authorized Official Telephone | 7122636116 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | IA | Allopathic & Osteopathic Physicians | |
| Y | 207Q00000X | Family Medicine | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0222695 | 05 |
| Street Address |
1820 HIGHWAY 30 EAST |
| City | DENISON |
| State | IA |
| Zip Code | 51442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164891800 | Danette Miller | Physical Therapist | 521 Ia-39, Denison, IA 51442 | 2015-09-23 |
| 1134476997 | Qassim University | Clinic/Center | Qassim University, Dept of Family Medicine, Room 3061, Mulaidah, ALQASSIM 51442 | 2012-08-12 |
| 1730376054 | Assisted Living Concepts Inc | Assisted Living Facility | 2506 3rd Avenue, North Denison, IA 51442 | 2007-10-01 |
| 1710184379 | John Miller | Speech-Language Pathologist | 1202 12 Ave, Denison, IA 51442 | 2007-06-28 |
| 1538114350 | Topko of Denison Inc | Durable Medical Equipment & Medical Supplies | 1401 Broadway, Denison, IA 51442 | 2006-05-23 |
| 1013987320 | Kathy Berens-brownmiller | Physician Assistant | 115 N 14th St, Denison, IA 51442 | 2006-01-26 |
| 1730522947 | Elizabeth Jordan Ranniger | Pediatrics | 100 Medical Parkway, Denison, IA 51442 | 2013-04-08 |
| 1801093448 | Kristi Marie Pottebaum | Occupational Therapy Assistant | 1202 Ridge Rd, Denison, IA 51442 | 2007-06-28 |
| 1740332667 | Mosaic | Intermediate Care Facility, Mentally Retarded | 1402 Settlers Lane, Denison, IA 51442-0000 | 2007-01-18 |
| 1619916996 | Morris L Kuhlmann | Optometrist | 201 N Main St, Denison, IA 51442-0399 | 2006-06-05 |
| Find all providers in zip 51442 | ||||
| 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 |
|---|---|---|---|---|
| 1679006076 | Michael Slack | Family Medicine | 5016 N Us Hwy 75, Denison, TX 75020 | 2017-04-04 |
| 1366892606 | Matthew John Terhark | Family Medicine | 1528 W Day St, Denison, TX 75020-5207 | 2016-06-17 |
| 1255377487 | Jimmy L Tarpley | Family Medicine | 5012 S Us Highway 75 Ste 225, Denison, TX 75020-4636 | 2006-06-22 |
| 1295728707 | Rose Mary Mason | Family Medicine | 1820 Hwy 30 E, Denison, IA 51442-2139 | 2005-08-30 |
| 1932107448 | Ronald H Dreyer | Family Medicine | 415 Avenue C, Denison, IA 51442-2709 | 2005-07-08 |
| 1043818669 | Leah Trautman | Family Medicine | 100 Medical Pkwy, Denison, IA 51442-2299 | 2020-10-15 |
| 1215388830 | Sarah Branam | Family Medicine | 5012 S Us Highway 75 Ste 225, Denison, TX 75020 | 2016-06-24 |
| 1275983736 | Nickolas Baker | Family Medicine | 5016 S Us Highway 75, Denison, TX 75020-4584 | 2016-06-15 |
| 1588013569 | Huan Nguyen | Family Medicine | 5016 S Us Highway 75, Denison, TX 75020-4584 | 2016-06-09 |
| 1013391598 | Barrett Wesley Compton | Family Medicine | 5016 S Us Highway 75, Attn: Residency Program, Denison, TX 75020-4584 | 2015-07-15 |
| Find all providers in DENISON | ||||
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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.