Robert J Kreutzmann (NPI# 1174584171, PAC ID# 3779545710) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174584171 |
| PAC ID by PECOS | 3779545710 |
| Professional Enrollment ID | I20041101001161 |
| Full Name | Robert J Kreutzmann |
| Organization Legal Name | DALE MEDICAL CENTER |
| Address |
808 Donnell Blvd Suite B Daleville AL 36322-2119 |
| Phone Number | 3345990235 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1967 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 3476466327 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010021 | DALE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 808 Donnell Blvd, Suite B, Daleville, AL 36322-2119 | 3345990235 | DALE MEDICAL CENTER |
| 1519 Andrews Ave, Ozark, AL 36360-3719 | 3347747610 | DALE MEDICAL CENTER |
| 218 Hospital Ave, Ozark, AL 36360-2072 | DALE MEDICAL CENTER | |
| 633 S Union Ave, Ozark, AL 36360-1836 | 3347747572 | DALE MEDICAL CENTER |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 86% |
| Organization Legal Name | DALE MEDICAL CENTER |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hunter K Clark | Nurse Practitioner | Dale Medical Center | 633 S Union Ave, Ozark, AL 36360-1836 |
| Radu Constantine | General Surgery | Dale Medical Center | 218 Hospital Ave, Ozark, AL 36360-2072 |
| Connie A Chandler | Family Medicine | Dale Medical Center | 145 Katherine Ave, Ozark, AL 36360-1976 |
| Chris S Fox | Certified Registered Nurse Anesthetist (crna) | Dale Medical Center | 126 Hospital Ave, Ozark, AL 36360-2018 |
| Mark B Ellis | Family Medicine | Dale Medical Center | 1519 Andrews Ave, Ozark, AL 36360-3719 |
| Sheryl A Jernigan | Nurse Practitioner | Dale Medical Center | 808 Donnell Blvd, Suite B, Daleville, AL 36322-2119 |
| Oliver W Crawford Jr. | Internal Medicine | Dale Medical Center | 218 Hospital Ave, B, Ozark, AL 36360-2072 |
| Rifat Parwaiz | Family Medicine | Dale Medical Center | 1519 Andrews Ave, Ozark, AL 36360-3719 |
| Margaret J Hughes | Nurse Practitioner | Dale Medical Center | 1519 Andrews Ave, Ozark, AL 36360-3719 |
| April Tate | Nurse Practitioner | Dale Medical Center | 218 Hospital Ave, Ozark, AL 36360-2072 |
| Street Address |
808 DONNELL BLVD SUITE B |
| City | DALEVILLE |
| State | AL |
| Zip | 36322-2119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sheryl A Jernigan | Nurse Practitioner | Dale Medical Center | 808 Donnell Blvd, Suite B, Daleville, AL 36322-2119 |
| City | DALEVILLE |
| Zip Code | 36322 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DALEVILLE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Robert J Kreutzmann.
| 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.