Joel S Crockett (NPI# 1316174956, PAC ID# 3173801370) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1316174956 |
| PAC ID by PECOS | 3173801370 |
| Professional Enrollment ID | I20171009001359 |
| Full Name | Joel S Crockett |
| Organization Legal Name | CSI MEDICAL GROUP |
| Address |
1101 Standiford Ave A3 Modesto CA 95350-0981 |
| Phone Number | 2095785072 |
| Gender | M |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2009 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 5890916845 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1101 Standiford Ave, A3, Modesto, CA 95350-0981 | 2095785072 | CSI MEDICAL GROUP |
| Organization Legal Name | CSI MEDICAL GROUP |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Feldstein | Dermatology | Csi Medical Group | 1934 Via Ctr, Suite B, Vista, CA 92081-6056 |
| Shih-ting Chiu | Physician Assistant | Csi Medical Group | 9781 Blue Larkspur Ln, Suite 100, Monterey, CA 93940-6509 |
| Ernest Bloom | Dermatology | Csi Medical Group | 501 S Shore Ctr W, Suite 103a, Alameda, CA 94501-5762 |
| Paul C Tumeh | Dermatology | Csi Medical Group | 525 S Dr, Suite 115, Mountain View, CA 94040-4211 |
| Peter K Webb | Dermatology | Csi Medical Group | 136 N San Mateo Dr, San Mateo, CA 94401-2777 |
| Leon Lubianker | Dermatology | Csi Medical Group | 2420 Samaritan Dr, San Jose, CA 95124-3907 |
| David B Friedman | Dermatology | Csi Medical Group | 1165 N Euclid St, Anaheim, CA 92801-1938 |
| Susan D Wolf | Dermatology | Csi Medical Group | 3060 Broadway St, Redwood City, CA 94062-1512 |
| David A South | Dermatology | Csi Medical Group | 204 Green Valley Rd, Freedom, CA 95019-3135 |
| Michele W Mak-fung | Dermatology | Csi Medical Group | 603 S Knickerbocker Dr, Sunnyvale, CA 94087-1034 |
| Street Address |
1101 STANDIFORD AVE A3 |
| City | MODESTO |
| State | CA |
| Zip | 95350-0981 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andy C Hsi | Pathology | Csi Medical Group | 1101 Standiford Ave, A3, Modesto, CA 95350-0981 |
| Marla L Welch | Chiropractic | Welch Chiropractic Office | 1101 Standiford Ave, A6, Modesto, CA 95350-0981 |
| Rossitza Z Lazova | Pathology | Csi Medical Group | 1101 Standiford Ave, A3, Modesto, CA 95350-0981 |
| Mark D Welch | Chiropractic | Welch Chiropractic Office | 1101 Standiford Ave, A6, Modesto, CA 95350-0981 |
| Rajni V Mandal | Pathology | Csi Medical Group | 1101 Standiford Ave, Modesto, CA 95350-0981 |
| Tawfik Yahia Algafery Saleh | Chiropractic | 1101 Standiford Ave, Suite A1, Modesto, CA 95350-0981 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ladan P Hashemi | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Ashley Marruffo | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Jessica F Hoffman | Nurse Practitioner | Galen Medical Group, Inc. | 2633 W Rumble Rd, Modesto, CA 95350-0154 |
| Lynne M Butner | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| Ronald J Mostowski | Chiropractic | 1500 Standiford Ave B, Modesto, CA 95350-0592 | |
| David A Heersink | Chiropractic | 1367 Standiford Ave, Modesto, CA 95350-0700 | |
| Mariza M Del Rosario-garcia | Psychiatry | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Rean Hong | Clinical Psychologist | Permanente Medical Group Inc | 1320 Standiford Ave, Suite 5, Modesto, CA 95350-0726 |
| Michael Taylor | Chiropractic | 1421 Standiford Ave, B, Modesto, CA 95350-0730 | |
| Jeanne Abbott | Clinical Social Worker | 3300 Tully Rd, Suite C1, Modesto, CA 95350-0849 | |
| Find all physicians in zip 95350 | |||
| City | MODESTO |
| Zip Code | 95350 |
| Specialty | DERMATOLOGY |
| City + Specialty | MODESTO + DERMATOLOGY |
Please comment or provide details below to improve the information on Joel S Crockett.
| 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.