GRACE G KROTKOV


Address: 3410 Chaparral Dr Apt 133, Roanoke, VA 24018-4930
Phone: 7177191658

GRACE G KROTKOV (NPI# 1922623297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922623297
Entity Type Individual
Full Name GRACE G KROTKOV
Practice Address 3410 Chaparral Dr Apt 133
Roanoke
VA 24018-4930
Practice Telephone 7177191658
Mailing Telephone 7177191658
Enumeration Date 2020-06-12
Last Update Date 2020-06-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3410 CHAPARRAL DR APT 133
City ROANOKE
State VA
Zip Code 24018-4930

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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164040960 Daniel Scott Feivor Physician Assistant 131 Campbell Ave Sw Ste 215, Roanoke, VA 24011-1241 2020-07-08
1275159287 Paige Alexandra Hamay Physician Assistant 206 Williamson Rd Se Apt 227, Roanoke, VA 24011-1812 2020-06-25
1396360624 Hannah Barnhill Physician Assistant 943 Murray Ave Se, Roanoke, VA 24013-1841 2020-06-12
1639791270 Megan Thorn Physician Assistant 502 Allison Ave Sw Apt 5, Roanoke, VA 24016-4547 2020-05-16
1952923914 Sydney Lucille Hughes Adams Physician Assistant 928 2nd St Sw Apt 1, Roanoke, VA 24016-4420 2020-05-13
1780206268 Katherine Cole Physician Assistant 16 Old Whitmore Ave Se Apt 507, Roanoke, VA 24016-1236 2020-05-07
1205457033 Kristin Marie Sammons Physician Assistant 6430 Archcrest Dr Apt 107, Roanoke, VA 24019-1185 2020-05-04
1407480460 Amanda Joy Wheeler Physician Assistant 3626 Belle Ave Ne, Roanoke, VA 24012-6408 2020-02-28
1356981625 Ryan Maurer Short Physician Assistant 1615 Westover Ave Sw # A, Roanoke, VA 24015-5215 2020-01-14
1831750983 Courtney Bryanne Hicks Physician Assistant 3006 Hickory Woods Dr Ne Apt 122, Roanoke, VA 24012-6362 2019-06-27
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Competitor

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City ROANOKE
Zip Code 24018

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Dataset Information

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.

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