MR. MARK HOLLAND CROLEY (NPI# 1720051311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720051311 |
| Entity Type | Individual |
| Full Name | MR. MARK HOLLAND CROLEY |
| Credential | M.D. |
| Practice Address |
3851 Roger Brooke Dr Fort Sam Houston TX 78234-4501 |
| Mailing Address |
26 Sherborne Wood San Antonio TX 78218-1771 |
| Practice Telephone | 2109164241 |
| Mailing Telephone | 2108266234 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
8747 | HI | Allopathic & Osteopathic Physicians |
| Street Address |
3851 ROGER BROOKE DR |
| City | FORT SAM HOUSTON |
| State | TX |
| Zip Code | 78234-4501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903931 | Doreen M. Lounsbery | Internal Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2005-06-23 |
| 1821561853 | Jessica Dolan | Dietitian, Registered | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2019-01-02 |
| 1851842306 | Michael Stablein | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-10-19 |
| 1588114078 | Daniel Hamilton | Optometrist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-10-07 |
| 1932657756 | Erica Russell | Physical Therapist | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2016-09-21 |
| 1437502887 | Glenn Wayne Brietzke Jr. | Dietitian, Registered | 3851 Roger Brooke Dr, Mche-qd, Fort Sam Houston, TX 78234-4501 | 2016-07-21 |
| 1023483013 | Christine Setty | Student in an Organized Health Care Education/Training Program | 3851 Roger Brooke Dr, Mcheqd, Fort Sam Houston, TX 78234-4501 | 2015-12-02 |
| 1487024642 | Deserae Gonzalez | Social Worker | 3851 Roger Brooke Dr, Bamc Mche-qd (creds), Fort Sam Houston, TX 78234-4501 | 2015-09-30 |
| 1871969014 | Antoine Williams II | Registered Nurse | 3851 Roger Brooke Dr, San Antonio Military Medcial Center, Fort Sam Houston, TX 78234-4501 | 2015-08-11 |
| 1033503990 | Eldon Snyder | General Practice | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2015-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316219009 | Caitlin Mairead Drumm | Pediatrics | San Antonio Military Medical Center, 3551 Roger Brooke Drive, Fort Sam Houston, TX 78234 | 2012-01-27 |
| 1720269400 | Carrie Ann Renee Litke-wager | Pediatrics | 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 | 2007-11-21 |
| 1548471139 | Taslim Allibhai Dawood | Pediatrics | 3551 Roger Brooke Dr, Neonatology, Fort Sam Houston, TX 78234-4504 | 2007-05-24 |
| 1982781712 | Christy Wilea Jones | Pediatrics | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2006-11-01 |
| 1124130265 | Robert Kurt Gillette | Pediatrics | 3551 Roger Brooke Dr, Bamc -- Mche-qd (creds), Fort Sam Houston, TX 78234-4504 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699233510 | Allison Claire Arbilo | Pediatrics | 6431 Fannin St # 3.254, Houston, TX 77030-1501 | 2019-03-10 |
| 1619469343 | Deulofeut Physician Services Pllc | Pediatrics | 1924 Pine St Ste 401b, Abilene, TX 79601-2452 | 2018-05-30 |
| 1801303979 | Gulf Coast Neonatology, Pllc | Pediatrics | 5920 Saratoga Blvd Ste 450, Corpus Christi, TX 78414-4124 | 2018-01-10 |
| 1023522331 | Richard Michael Rodriguez | Pediatrics | 2205 Concord Pl, Brownsville, TX 78520-3984 | 2017-11-22 |
| 1306266200 | Carlos A Laos, Md, Pa | Pediatrics | 25 Cochran Oaks Ln, Dallas, TX 75220-7811 | 2014-04-18 |
| 1225451032 | Sherlene Annette Dreyer | Pediatrics | 5000 Montrose Blvd Unit 19b, Houston, TX 77006-6564 | 2014-01-29 |
| 1154752418 | Dolores Carruth | Pediatrics | 2510 Skyline Dr, Irving, TX 75038-5819 | 2013-12-11 |
| 1891033981 | Lisa Jensen Mitchell | Pediatrics | Carl R. Darnall Medical Center, 2608 Marlin Dr, Killeen, TX 76543-2773 | 2013-01-23 |
| 1780940940 | Harashada Luhar | Pediatrics | 4707 Circle Oak Cv, Austin, TX 78749-2302 | 2012-04-02 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
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| City | FORT SAM HOUSTON |
| Zip Code | 78234 |
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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.