ROBERT A CROCKETT (NPI# 1760402622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760402622 |
| Entity Type | Individual |
| Full Name | ROBERT A CROCKETT |
| Credential | M.D. |
| Practice Address |
155 Glasson Way Grass Valley CA 95945-5723 |
| Mailing Address |
Po Box 496084 Redding CA 96049-6084 |
| Practice Telephone | 5302746107 |
| Practice Fax Number | 5302746059 |
| Mailing Telephone | 5302410473 |
| Mailing Fax Number | 5302415377 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A54199 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A541990 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932604907 | Robert Crockett | Technician | 8290 W Sahara Ave Ste 260, Las Vegas, NV 89117-8933 | 2018-03-29 |
| 1235276809 | Robert O. Crockett | Physical Therapist | 2230 N Edwards Ave, Mt Pleasant, TX 75455-2036 | 2007-01-31 |
| 1386758548 | Robert Kemp Crockett | Emergency Medicine | 3100 Sw 62nd Ave, Miami, FL 33155-3009 | 2006-08-17 |
| 1801883475 | Robert David Crockett | Nurse Practitioner | 1100 N College Ave, Fayetteville, AR 72703-1944 | 2005-09-29 |
| Street Address |
155 GLASSON WAY |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841294782 | Sierra Nevada Memorial-miners Hospital | Home Health | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2005-06-09 |
| 1346840634 | Sierra Physicians Inc. | General Acute Care Hospital | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2020-10-27 |
| 1659836823 | Alvin Reed Walters | Nurse Practitioner | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2019-02-01 |
| 1972087658 | Thais Marek | Nurse Practitioner | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2018-09-19 |
| 1215413638 | Cep America - Anesthesia PC | Anesthesiology | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2018-07-18 |
| 1285142554 | Laila Murfin | Counselor | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2018-01-19 |
| 1902253610 | Robert K Omogrosso | Family Medicine | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2016-05-23 |
| 1427422963 | Kathy Gibbons | Registered Nurse | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2015-11-20 |
| 1053723742 | Rajpreet Singh Grewal | Internal Medicine | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2014-05-29 |
| 1336499789 | Erin Osiecki | Emergency Medicine | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2012-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184763575 | Melisa Moore Agness | Radiology | 140 Litton Dr Ste 208, Grass Valley, CA 95945-5079 | 2007-02-05 |
| 1548802028 | Dr. Anna Wilson Do PC | Radiology | 140 Litton Dr Ste 208, Grass Valley, CA 95945-5079 | 2019-10-16 |
| 1992006720 | Insight Imaging Inc | Radiology | 140 Litton Dr, Suite #208, Grass Valley, CA 95945-5077 | 2010-11-10 |
| 1407876352 | Mark Richey | Radiology | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2006-07-20 |
| 1285654145 | Michael Hallenbeck | Radiology | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2006-07-20 |
| 1942226329 | Grass Valley Radiology Medical Group, Inc | Radiology | 155 Glasson Way, Grass Valley, CA 95945-5723 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.