Jeffery D Kroll (NPI# 1073509188, PAC ID# 5092852541) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1073509188 |
| PAC ID by PECOS | 5092852541 |
| Professional Enrollment ID | I20100225000374 |
| Full Name | Jeffery D Kroll |
| Organization Legal Name | CROCKETT MEDICAL CENTER, LLC |
| Address |
1050 E Loop 304 Crockett Medical Center Clinic Crockett TX 75835-1814 |
| Phone Number | 9365463890 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 1985 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3173884152 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 451393 |
| Address | Phone | Organization |
|---|---|---|
| 1050 E Loop, 304 Crockett Medical Center Clinic, Crockett, TX 75835-1814 | 9365463890 | CROCKETT MEDICAL CENTER, LLC |
| Organization Legal Name | CROCKETT MEDICAL CENTER, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Cochran | Family Medicine | Crockett Medical Center, LLC | 1050 E Loop, 304 Crockett Medical Center Clinic, Crockett, TX 75835-1814 |
| Natalie Ea Bachynsky | Nurse Practitioner | Crockett Medical Center, LLC | 1100 E Loop, 304 Crockett Med Center Clinic, Crockett, TX 75835-1810 |
| Clifton B Omeara | Orthopedic Surgery | Crockett Medical Center, LLC | 1050 E Loop, 304 Crockett Medical Center Clinic, Crockett, TX 75835-1814 |
| Tim M Meyer | Physician Assistant | Crockett Medical Center, LLC | 1100 E Loop, 304 Crockett Med Center Clinic, Crockett, TX 75835-1810 |
| Richard T Tay | Gastroenterology | Crockett Medical Center, LLC | 1100 E Loop, 304 Crockett Med Center Clinic, Crockett, TX 75835-1810 |
| Street Address |
1050 E LOOP 304 CROCKETT MEDICAL CENTER CLINIC |
| City | CROCKETT |
| State | TX |
| Zip | 75835-1814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James M Cochran | Family Medicine | Crockett Medical Center, LLC | 1050 E Loop, 304 Crockett Medical Center Clinic, Crockett, TX 75835-1814 |
| Henry C Warren | Podiatry | East Texas Foot Associates | 1050 E Loop, Suite 304, Crockett, TX 75835-1814 |
| Clifton B Omeara | Orthopedic Surgery | Crockett Medical Center, LLC | 1050 E Loop, 304 Crockett Medical Center Clinic, Crockett, TX 75835-1814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher R Haeckler | Family Medicine | 1122 Loop 304, Crockett, TX 75835-1189 | |
| Richard J Kelly | Family Medicine | 1122 Loop 304, Po Box 1189, Crockett, TX 75835-1189 | |
| Bradley V White | Chiropractic | 500 E Pease Ave, Crockett, TX 75835-1644 | |
| Candace L Adkins | Nurse Practitioner | Claris Health Pllc | 1116 E Loop, 304 Whitehall Rehab and Nursing, Crockett, TX 75835-1810 |
| Frank A Smith | Family Practice | 1122 E Loop, Suite 304, Crockett, TX 75835-1810 | |
| Ronald R Eikenhorst | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Craig S Yetter | Emergency Medicine | Concord Medical Group of Texas Pllc | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Bronson Shane Tindall | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Kenneth R Close | Diagnostic Radiology | Bryan Radiology Associates | 1100 E Loop, Suite 304, Crockett, TX 75835-1810 |
| Natalie Ea Bachynsky | Nurse Practitioner | Crockett Medical Center, LLC | 1100 E Loop, 304 Crockett Med Center Clinic, Crockett, TX 75835-1810 |
| Find all physicians in zip 75835 | |||
| City | CROCKETT |
| Zip Code | 75835 |
| Specialty | UROLOGY |
| City + Specialty | CROCKETT + UROLOGY |
Please comment or provide details below to improve the information on Jeffery D Kroll.
| 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.