CHAD KRUMPHOLZ (NPI# 1801371414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801371414 |
| Entity Type | Individual |
| Full Name | CHAD KRUMPHOLZ |
| Credential | PA-C |
| Practice Address |
1901 Sw H K Dodgen Loop Temple TX 76502-1814 |
| Mailing Address |
Po Box 844658 Dallas TX 75284-4658 |
| Practice Telephone | 2547242585 |
| Mailing Telephone | 8009440371 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2020-01-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA12793 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1901 SW H K DODGEN LOOP |
| City | TEMPLE |
| State | TX |
| Zip Code | 76502-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982681177 | Robin Ann Weerts | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502 | 2005-12-28 |
| 1205458296 | Connor Travis Larson | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2020-05-12 |
| 1285277061 | Charity Ann Driver | Nurse Practitioner | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-10-23 |
| 1780232223 | Ahmed Gamal Aquino | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-08-28 |
| 1629620778 | Cristiane Rocha Krohn | Registered Nurse | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-07-09 |
| 1801356159 | Daniel Dvoskin | Student in an Organized Health Care Education/Training Program | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-22 |
| 1720546039 | Irma Valle | Nurse Anesthetist, Certified Registered | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-03-05 |
| 1316411200 | Jadon Kirven | Counselor | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2019-01-14 |
| 1629550983 | Hailey Marek | Occupational Therapist | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-09-04 |
| 1114414257 | Leland Finley | Emergency Medicine | 1901 Sw H K Dodgen Loop, Temple, TX 76502-1814 | 2018-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033710850 | Bih Mobanoe Chi | Pharmacist | 6801 West Adams Avenue, Temple, TX 76502 | 2020-11-06 |
| 1639705403 | Robert David Pompella | Chiropractor | 4805 Stone Ridge Dr, Temple, TX 76502 | 2020-03-12 |
| 1275167488 | Luong Dental, LLC | Dentist | 5297 S. 31st Street, Ste 111, Temple, TX 76502 | 2020-02-26 |
| 1093357931 | Ryan T Stephens Dmd Pllc | Dentist | 5408 W. Adams Suite 102, Temple, TX 76502 | 2019-10-11 |
| 1164071817 | Danyelle Denise Pividori | Licensed Vocational Nurse | 992 Marlandwood Rd, Temple, TX 76502 | 2019-09-05 |
| 1831670652 | Jane Lida Jarosz | Registered Nurse | 99 Marlandwood, Temple, TX 76502 | 2018-08-29 |
| 1043791809 | Elsa Gamban Baker | Licensed Practical Nurse | 5711 Hopkins Dr, Temple, TX 76502 | 2018-08-28 |
| 1659859288 | Laura Bright | Licensed Vocational Nurse | 990 Marlanwood, Temple, TX 76502 | 2018-08-06 |
| 1811489974 | Rockdale Blackhawk, LLC | Clinic/Center | 1909 Sw Hk Dodgen Loop, Temple, TX 76502 | 2018-06-05 |
| 1871094573 | Moc Temple, LLC | Skilled Nursing Facility | 725 Marlandwood Rd., Temple, TX 76502 | 2018-02-27 |
| Find all providers in zip 76502 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285778381 | David Herman White | Physician Assistant | 2604 Taylors Ridge Road, Temple, TX 76502-8834 | 2007-02-20 |
| 1902942576 | Sarah Ruth Mansour | Physician Assistant | 2401 S. 31st St., Temple, TX 76508 | 2007-01-30 |
| 1568912350 | Meredith Rae Amenell | Physician Assistant | 2401 S 31st St, Temple, TX 76508-4211 | 2016-10-05 |
| 1932584919 | Maria Sloane Pardinek | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2015-07-20 |
| 1831599042 | Joshua Scott Marin | Physician Assistant | 1605 S 31st St, Temple, TX 76508-0001 | 2014-08-26 |
| 1841569886 | Brian A. Emadi | Physician Assistant | 2401 S 31st St, Temple, TX 76508-1703 | 2011-12-20 |
| 1982999587 | Mary Pepper | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2011-06-13 |
| 1972801652 | Joel David Travnicek | Physician Assistant | 2401 S 31st St, Temple, TX 76508-0001 | 2011-03-04 |
| 1780914416 | Blaine Spencer French | Physician Assistant | 2401 South 31st Street, Credentialing Services Dept. of Medical Staff Services, Temple, TX 76503-0002 | 2009-12-31 |
| 1043547706 | Christina Patel | Physician Assistant | 1605 S 31st St, Temple, TX 76508-0001 | 2009-11-17 |
| Find all providers in TEMPLE | ||||
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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.