Larry K Cruel (NPI# 1609996982, PAC ID# 5698797181) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
Nation Provider ID (NPI) | 1609996982 |
PAC ID by PECOS | 5698797181 |
Professional Enrollment ID | I20051227000631 |
Full Name | Larry K Cruel |
Organization Legal Name | RIVER HEALTH CARE LLC |
Address |
157 F E Sellers Hwy Monticello MS 39654 |
Phone Number | 6018065064 |
Gender | M |
Credential | DPM |
Medical School | BARRY UNIVERSITY SCHOOL PODIATRIC MEDICINE |
Graduation Year | 1995 |
Primary Specialty | PODIATRY |
Group Practice PAC ID | 9830494616 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
157 F E Sellers Hwy, Monticello, MS 39654 | 6018065064 | RIVER HEALTH CARE LLC |
Organization Legal Name | RIVER HEALTH CARE LLC |
Physicians | 1 |
Street Address |
157 F E SELLERS HWY |
City | MONTICELLO |
State | MS |
Zip | 39654 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brantley Bernard Pace | General Practice | 713 Watts St, Monticello, MS 39654-0518 | |
Deontranese T Taylor | Nurse Practitioner | 314 Main St, Suite D, Monticello, MS 39654-3702 | |
Greta L Keys | Nurse Practitioner | 1132 E Broad St, Monticello, MS 39654-7681 | |
Patrick B Wood | Family Medicine | Southwest Mississippi Regional Medical Center | 1167 E Broad St, Monticello, MS 39654-7682 |
Caron C Henderson | Nurse Practitioner | Wcs Professional Services of Mississippi, LLC | 1065 E Broad St, Lawrence Cnty Hosp, Monticello, MS 39654-7703 |
Teresa Q Conerly | Nurse Practitioner | Family Health Care Clinic Inc | 430 W Broad St, Monticello, MS 39654-7723 |
Rebecca Hussey Burris | Nurse Practitioner | 827 F E Sellers Hwy, Burris Medical Clinic, Monticello, MS 39654-9378 | |
Richard G Burris | Family Medicine | 827 F E Sellers Hwy, Monticello, MS 39654-9378 |
City | MONTICELLO |
Zip Code | 39654 |
Specialty | PODIATRY |
City + Specialty | MONTICELLO + PODIATRY |
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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.