DR. DOUGLAS LEE KRUCKNER (NPI# 1932192226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932192226 |
| Entity Type | Individual |
| Full Name | DR. DOUGLAS LEE KRUCKNER |
| Other Name | MR. DOUG L KRUCKNER |
| Credential | M.D. |
| Practice Address |
900 Cedar St Julesburg CO 80737 |
| Practice Telephone | 9704743323 |
| Practice Fax Number | 9704742461 |
| Mailing Telephone | 9704743323 |
| Mailing Fax Number | 9704742461 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2014-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 49376 | CO | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | M1189 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
900 CEDAR ST |
| City | JULESBURG |
| State | CO |
| Zip Code | 80737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894858 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 900 Cedar St, Julesburg, CO 80737-1121 | 2020-06-03 |
| 1891069019 | Banner Health Physicians Colorado LLC | General Acute Care Hospital | 900 Cedar St, Julesburg, CO 80737-1121 | 2012-03-06 |
| 1821329798 | Family Care Clinic | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2010-01-16 |
| 1598995417 | Autumn Marie Martin | Nurse Practitioner | 900 Cedar St, Julesburg, CO 80737-1121 | 2009-07-27 |
| 1811150428 | Sedgwick County Health Center | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2008-07-03 |
| 1720241334 | Sedgwick County Hospital | Clinic/Center | 900 Cedar St, Julesburg, CO 80737-1121 | 2008-07-03 |
| 1992989586 | Cheyenne County Hospital Association | Home Health | 900 Cedar St, Julesburg, CO 80737-1121 | 2007-12-19 |
| 1649489022 | Cheyenne County Hospital Association Inc. | Hospice Care, Community Based | 900 Cedar St, Julesburg, CO 80737-1121 | 2007-05-22 |
| 1851508675 | Cheyenne County Hospital Association, Inc. | Home Health | 900 Cedar St, Julesburg, CO 80737-1121 | 2007-05-17 |
| 1881602738 | Sedgwick County Memorial Hospital | Family Medicine | 900 Cedar St, Julesburg, CO 80737-1121 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093941494 | Abts Pharmacy LLC | Pharmacy | 121 Cedar Street, Julesburg, CO 80737 | 2009-05-31 |
| 1356574859 | Health Care Partners Foundation Inc | Clinic/Center | 502 W 8th St, Julesburg, CO 80737-1015 | 2009-08-31 |
| 1689116816 | Eastern Colorado Services for The Developmentally Disabled, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 823 W 9th St, Julesburg, CO 80737-1097 | 2016-11-04 |
| 1053326736 | Lisa Regier | Physician Assistant | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-07-30 |
| 1407863871 | Michael Lipnick | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1316954787 | Ronald Cooper | Physician Assistant | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1164439535 | Donald Dean Regier | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1073647459 | Segwick County Heatlh Center | Nursing Facility/Intermediate Care Facility | 901 Cedar St, Julesburg, CO 80737-1120 | 2007-03-15 |
| 1962536342 | Sedgwick County Health Center | Assisted Living Facility | 900 Pine St, Julesburg, CO 80737-1139 | 2007-03-15 |
| 1396815619 | Dalette Ann Carlson | Nurse Anesthetist, Certified Registered | 104 W 1st St, Julesburg, CO 80737-1502 | 2006-11-08 |
| Find all providers in zip 80737 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881602738 | Sedgwick County Memorial Hospital | Family Medicine | 900 Cedar St, Julesburg, CO 80737-1121 | 2006-08-04 |
| 1407863871 | Michael Lipnick | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| 1164439535 | Donald Dean Regier | Family Medicine | 116 E 9th St, Julesburg, CO 80737-1100 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295334308 | Emily Laura Milligan | Family Medicine | 1032 E 14th Ave Apt 4, Denver, CO 80218-1923 | 2020-10-20 |
| 1265030829 | Paladina Health, LLC | Family Medicine | 11990 Grant St Ste 100, Northglenn, CO 80233-5156 | 2020-10-15 |
| 1073111381 | Paladina Health, LLC | Family Medicine | 3400 W 16th St Ste Y, Greeley, CO 80634-6862 | 2020-10-09 |
| 1376140137 | Colorado Physician Partners, Pllc | Family Medicine | 7920 S University Blvd Ste 203, Centennial, CO 80122-5103 | 2020-10-05 |
| 1659988616 | 5280 Medical Concierge Inc | Family Medicine | 2821 S Parker Rd Ste 574, Aurora, CO 80014-2735 | 2020-09-24 |
| 1144837105 | Dany Vexler Fnp-c LLC | Family Medicine | 2821 S Parker Rd Ste 575, Aurora, CO 80014-2713 | 2020-09-24 |
| 1851907489 | Inpatient Services, PC | Family Medicine | 1960 S Fordham St, Longmont, CO 80503-7777 | 2020-09-18 |
| 1043826795 | Alegis Care of Colorado LLC | Family Medicine | 2000 S Colorado Blvd Ste 1100, Denver, CO 80222-7957 | 2020-09-18 |
| 1790390821 | Healthone Clinic Services - Primary Care, LLC | Family Medicine | 10405 Martin Luther King Blvd Ste 120, Denver, CO 80238-2399 | 2020-09-15 |
| 1477167567 | 247 Doctor | Family Medicine | 22884 E Layton Ave, Aurora, CO 80015-6473 | 2020-09-04 |
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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.