Stephen John Croughan (NPI# 1043323629, PAC ID# 8729302856) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1043323629 |
| PAC ID by PECOS | 8729302856 |
| Professional Enrollment ID | I20150121001079 |
| Full Name | Stephen John Croughan |
| Organization Legal Name | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| Address |
31115 Hwy 94 Campo CA 91906-3133 |
| Phone Number | 6194456200 |
| Gender | M |
| Graduation Year | 1982 |
| Primary Specialty | GENERAL PRACTICE |
| Group Practice PAC ID | 5395654396 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 31115 Hwy 94, Campo, CA 91906-3133 | 6194456200 | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| 255 N Ash St, Suite 101, Escondido, CA 92027-3069 | 6194456200 | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| Organization Legal Name | MOUNTAIN HEALTH AND COMMUNITY SERVICES, INC. |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey Carl Winter | Clinical Psychologist | Mountain Health and Community Services, Inc. | 4690 El Cajon Blvd, San Diego, CA 92115-4403 |
| Christine Marie Barthe | Family Practice | Mountain Health and Community Services, Inc. | 1620 Alpine Boulebard, Suite 119, Alpine, CA 91901-1102 |
| Jennifer K Fritz | Psychologist, Clinical | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Matthew O'banion Kelchner | Chiropractic | Mountain Health and Community Services, Inc. | 120 Town Ctr Pkwy, Santee, CA 92071-5801 |
| Luis G Bautista | Family Medicine | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Manshi Valluri Mallepogu | Internal Medicine | Mountain Health and Community Services, Inc. | 120 Town Ctr Pkwy, Santee, CA 92071-5801 |
| Joyce Kellawon | Internal Medicine | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Michael A Nace | Nurse Practitioner | Mountain Health and Community Services, Inc. | 1620 Alpine Blvd, Suite 110, Alpine, CA 91901-1103 |
| Jerry Ayers | Addiction Medicine | Mountain Health and Community Services, Inc. | 31115 Hwy 94, Campo, CA 91906-3133 |
| Mikayla Sue Todd | Nurse Practitioner | Mountain Health and Community Services, Inc. | 1620 Alpine Boulebard, Suite 119, Alpine, CA 91901-1102 |
| Street Address |
31115 HWY 94 |
| City | CAMPO |
| State | CA |
| Zip | 91906-3133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jerry Ayers | Addiction Medicine | Mountain Health and Community Services, Inc. | 31115 Hwy 94, Campo, CA 91906-3133 |
| Whitney Tobin | Physician Assistant | Mountain Health and Community Services, Inc. | 31115 Hwy 94, Campo, CA 91906-3133 |
| Norma A Sharpe | Physician Assistant | Mountain Health and Community Services, Inc. | 31115 Hwy 94, Campo, CA 91906-3133 |
| Dara Reyes | Clinical Psychologist | Mountain Health and Community Services, Inc. | 31115 Hwy 94, Campo, CA 91906-3133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Young S Suh | Family Medicine | Southern Indian Health Council Inc | 36350 Church Rd, Campo, CA 91906-2715 |
| City | CAMPO |
| Zip Code | 91906 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | CAMPO + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Stephen John Croughan.
| 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.