JAKE H KRECK (NPI# 1851638126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851638126 |
Entity Type | Individual |
Full Name | JAKE H KRECK |
Credential | P.A.-C |
Practice Address |
4031 W Plano Pkwy Suite 100 Plano TX 75093-5619 |
Practice Telephone | 9729851072 |
Practice Fax Number | 9725969382 |
Mailing Telephone | 9729851072 |
Mailing Fax Number | 9725969382 |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
TX | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
4031 W PLANO PKWY SUITE 100 |
City | PLANO |
State | TX |
Zip Code | 75093-5619 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851384077 | Alexander I Glogau | Orthopaedic Surgery | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5617 | 2005-08-23 |
1750934261 | Michelle Taylor | Physician Assistant | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2019-07-23 |
1467997627 | Family and Child Guidance Center | Counselor | 4031 W Plano Pkwy, Suite 211, Plano, TX 75093-5619 | 2016-12-27 |
1184169351 | Jacqueline Ann Romanies | Chiropractor | 4031 W Plano Pkwy, Suite 201, Plano, TX 75093-5619 | 2016-12-27 |
1558790139 | Brent Sather | Chiropractor | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2013-11-05 |
1821427725 | Morgan B Howard | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-11-01 |
1174964241 | Hoic Enterprises LLC | Pharmacy | 4031 W Plano Pkwy, Suite 211, Plano, TX 75093-5619 | 2013-07-17 |
1144666793 | Kelly Peters | Physician Assistant | 4031 W Plano Pkwy, Suite 100, Plano, TX 75093-5619 | 2013-05-21 |
1124382429 | Anne Marie Howell | Counselor | 4031 W Plano Pkwy, Ste 211, Plano, TX 75093-5619 | 2012-07-02 |
1689940090 | Jennifer Spencer Odom | Counselor | 4031 W Plano Pkwy, Plano, TX 75093-5619 | 2012-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235789041 | Mapleshade Surgery Center, LLC | Clinic/Center | 960 Ohio Dr, Plano, TX 75093 | 2019-09-13 |
1003461468 | Psyclear, LLC | Psychologist | 5055 West Park Boulevard, Suite 400, Plano, TX 75093 | 2019-08-02 |
1962981795 | Ep Anesthesia Pllc | Anesthesiology | 4100 Mapleshade Ln, Plano, TX 75093 | 2018-08-13 |
1669973939 | Eva Walekhwa | Registered Nurse | 6000 Ohio Drive, Apt 1027, Plano, TX 75093 | 2018-02-22 |
1437657624 | Advanced Spine Center | Orthopaedic Surgery | 1705 Ohio Drive, Suite 300, Plano, TX 75093 | 2018-01-23 |
1184139974 | Erica Cherese Carey | Nurse Practitioner | 1100 Allied Drive, Plano, TX 75093 | 2017-12-04 |
1457865578 | Norma Vigilant | Specialist/Technologist, Other | 4909 West Park Blvd, Plaza Park Salons, Plano, TX 75093 | 2017-11-28 |
1891214011 | Americare Rx Pharmacy Inc | Pharmacy | 4010 W. 15th St., Ste 60, Plano, TX 75093 | 2017-09-19 |
1760912554 | Baylor Surgicare At Baylor Plano, LLC | Clinic/Center | 4825 Alliance, Sute 300, Plano, TX 75093 | 2017-06-14 |
1881133262 | Dr.seshagiri Rao | Preferred Provider Organization | 3016 Communications Pkwy, Ste 100, Plano, TX 75093 | 2017-02-17 |
Find all providers in zip 75093 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083264766 | Sarah Chong Kim | Physician Assistant | 3212 Saint Ives Ct, Plano, TX 75075-3430 | 2019-09-16 |
1396260147 | Mark Ali Bahreini | Physician Assistant | 6928 Amethyst Ln, Plano, TX 75023-1938 | 2017-08-12 |
1174997704 | Sydney Marie Kromer | Physician Assistant | 1713 Endicott Dr, Plano, TX 75025-3057 | 2015-11-19 |
1275946295 | Naveeda Farooqi | Physician Assistant | 9600 Coit Rd Apt 922, Plano, TX 75025-8226 | 2014-06-06 |
1134468036 | Elizabeth Ann Munse | Physician Assistant | 3504 Lakebrook Dr, Plano, TX 75093-7520 | 2013-02-12 |
1679731350 | Brittany Dawn Epstein | Physician Assistant | 4001 W 15th St Ste 245, Plano, TX 75093-5839 | 2008-05-29 |
1902951296 | Barbara Lynn Jacinto | Physician Assistant | 3900 American Dr Ste 203, Plano, TX 75075-6190 | 2007-01-24 |
1164509881 | Scott Gregory Bearden | Physician Assistant | 901 W 15th St, Plano, TX 75075-5134 | 2006-11-01 |
1285641068 | Heidi Beth Cook | Physician Assistant | 5425 W Spring Creek Pkwy Ste 265, Plano, TX 75024-4344 | 2006-08-02 |
1598790917 | Kathy Johnson | Physician Assistant | 6124 W Parker Rd Ste 330, Plano, TX 75093-8125 | 2006-07-12 |
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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.