Larry E Krevolin (NPI# 1265532923, PAC ID# 2668569302) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEPHROLOGY.
| Nation Provider ID (NPI) | 1265532923 |
| PAC ID by PECOS | 2668569302 |
| Professional Enrollment ID | I20071029000201 |
| Full Name | Larry E Krevolin |
| Organization Legal Name | CLINICAL NEPHROLOGY ASSOCIATES, LTD. |
| Address |
4 Greentree Ctr Fl 1 Marlton NJ 08053-3408 |
| Phone Number | 2157627785 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | NEPHROLOGY |
| Group Practice PAC ID | 6800879859 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390174 | THOMAS JEFFERSON UNIVERSITY HOSPITAL |
| 390027 | TEMPLE UNIVERSITY HOSPITAL |
| 390312 | EASTERN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4 Greentree Ctr, Fl 1, Marlton, NJ 08053-3408 | 2157627785 | CLINICAL NEPHROLOGY ASSOCIATES, LTD. |
| 1331 E Wyoming Ave, Philadelphia, PA 19124-3808 | 2155377450 | CANCER TREATMENT CENTERS OF AMERICA PROF CORP OF PENNSYLVANIA, PC |
| 235 N Broad St, Suite 200, Philadelphia, PA 19107-1531 | 2157627785 | CLINICAL NEPHROLOGY ASSOCIATES, LTD. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 95% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 68% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 39% | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 19% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 54% |
| Organization Legal Name | CLINICAL NEPHROLOGY ASSOCIATES, LTD. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Mendez | Nephrology | Clinical Nephrology Associates, Ltd. | 235 N Broad St, Suite 200, Philadelphia, PA 19107-1531 |
| Arthur R Olshan | Nephrology | Clinical Nephrology Associates, Ltd. | 235 N Broad St, 100 Vascular Access Ctr, Philadelphia, PA 19107-1555 |
| Street Address |
4 GREENTREE CTR FL 1 |
| City | MARLTON |
| State | NJ |
| Zip | 08053-3408 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dinaz Homi Italia | Registered Dietitian Or Nutrition Professional | 750 Route 73 S 309a, Marlton, NJ 08053 | |
| Latifah Dosunmu-oparison | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Christopher E Zupsic | Optometry | 928 Greentree Sq, Marlton, NJ 08053 | |
| Diane Goldblum-graff | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Khalid M Bajwa | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Denise Owen Fabricius | Certified Clinical Nurse Specialist (cns) | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Andrea Cochran | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Thomas J Campo | Psychiatry | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Shayla J Edwards | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Ann Farrow | Nurse Practitioner | Center for Family Guidance, PC | 733 E Route 70 201, Marlton, NJ 08053 |
| Find all physicians in zip 08053 | |||
| City | MARLTON |
| Zip Code | 08053 |
| Specialty | NEPHROLOGY |
| City + Specialty | MARLTON + NEPHROLOGY |
Please comment or provide details below to improve the information on Larry E Krevolin.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.