James S Crockett (NPI# 1942204441, PAC ID# 3274508197) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1942204441 |
| PAC ID by PECOS | 3274508197 |
| Professional Enrollment ID | I20040901001260 |
| Full Name | James S Crockett |
| Address |
307 Live Oak Marlin TX 76661-2365 |
| Phone Number | 2548033561 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | GENERAL PRACTICE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450348 | FALLS COMMUNITY HOSPITAL AND CLINIC |
| 450042 | PROVIDENCE HEALTH CENTER |
| 450054 | SCOTT & WHITE MEDICAL CENTER - TEMPLE |
| Address | Phone | Organization |
|---|---|---|
| 307 Live Oak, Marlin, TX 76661-2365 | 2548033561 |
| Street Address |
307 LIVE OAK |
| City | MARLIN |
| State | TX |
| Zip | 76661-2365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry W Simmons | Family Medicine | Certified Nurse Practitioners, PC | 318 Chambers St, Marlin, TX 76661-2309 |
| Samuel A Adesoba | Internal Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Gbaranen B Gbaanador | Emergency Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Todd Akins | Anesthesiology | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Jeremy A Reynolds | Physician Assistant | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Kelly Czajkoski | Chiropractic | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| Allan Mahood | Family Medicine | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| David John Fedro | General Practice | Falls Community Hospital and Clinic | 322 Coleman St, Marlin, TX 76661-2358 |
| City | MARLIN |
| Zip Code | 76661 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | MARLIN + GENERAL PRACTICE |
Please comment or provide details below to improve the information on James 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.