ALLAN N KRUTCHIK (NPI# 1619938289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619938289 |
| Entity Type | Individual |
| Full Name | ALLAN N KRUTCHIK |
| Credential | MD |
| Practice Address |
6619 N Wickham Rd Melbourne FL 32940 |
| Mailing Address |
1120 15th St Ste Bi1056 Augusta GA 30912-0004 |
| Practice Telephone | 3212599500 |
| Mailing Telephone | 7064465941 |
| Mailing Fax Number | 7067219286 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2018-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME131606 | FL | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
080751 | GA | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
MA34594 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2947005 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6619 N Wickham Rd, Melbourne, FL 329402006 | 3212599500 |
| Street Address |
6619 N WICKHAM RD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952385981 | Ruben J Pipek | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2005-12-02 |
| 1083178735 | Angela Marie Armellini | Family Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2019-01-28 |
| 1679072375 | Suntree Endocrinology | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2018-02-08 |
| 1942711361 | Laura Moncada | Nurse Practitioner | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2017-10-12 |
| 1497296693 | Meghan Lytle Galili | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2017-03-20 |
| 1720459654 | Shannon Spreitzer | Nurse Practitioner | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2015-10-19 |
| 1811301641 | Lauren Bullard | Counselor | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2014-06-19 |
| 1124373212 | Ami Bhatt | Family Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2012-07-16 |
| 1033474952 | Nikka Cohan | Nurse Practitioner | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2012-07-06 |
| 1427209147 | Scott Hardoon | Internal Medicine | 6619 N Wickham Rd, Melbourne, FL 32940-2006 | 2008-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063818235 | Barry M. Krein | Internal Medicine | 4220 Careywood Dr, Melbourne, FL 32934-7679 | 2014-11-14 |
| 1861456089 | Richard Duff Sprawls | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940-2240 | 2006-04-14 |
| 1518948801 | Joseph A Mcclure | Internal Medicine | 1130 Hickory St, Suite B, Melbourne, FL 32901 | 2005-11-14 |
| 1447232772 | James W Neel | Internal Medicine | 1130 Hickory St Ste B, Melbourne, FL 32901 | 2005-11-14 |
| 1013998970 | Craig J Badolato | Internal Medicine | 1430 Pine St, Melbourne, FL 32901-3119 | 2005-11-08 |
| 1720079304 | Kenneth S Graff | Internal Medicine | 1130 S Hickory St, Melbourne, FL 32901-1973 | 2005-11-02 |
| 1679564462 | Craig Kenneth Deligdish | Internal Medicine | 1344 S Apollo Blvd, Ste 303, Melbourne, FL 32901-3332 | 2005-11-02 |
| 1437410099 | Josephine Pineda Dela Cruz | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940-2240 | 2012-05-30 |
| 1861615130 | Amit C Barochia | Internal Medicine | 8725 N Wickham Rd Ste 103, Melbourne, FL 32940 | 2007-04-11 |
| 1245268838 | Simon Vinarsky | Internal Medicine | 1130 Hickory St, Suite B, Melbourne, FL 32901-1973 | 2006-06-30 |
| Find all providers in MELBOURNE | ||||
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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.