Benjamin J Krogh (NPI# 1013003540, PAC ID# 9234192055) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1013003540 |
PAC ID by PECOS | 9234192055 |
Professional Enrollment ID | I20140818000358 |
Full Name | Benjamin J Krogh |
Organization Legal Name | ST. LUKE'S HOSPITAL |
Address |
702 1st St Sw Crosby ND 58730-0658 |
Phone Number | 7019656349 |
Gender | M |
Credential | MD |
Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
Graduation Year | 1996 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4486565645 |
Number of Group Practice Members | 6 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
351325 | ST LUKE'S HOSPITAL |
350006 | TRINITY HOSPITALS |
Address | Phone | Organization |
---|---|---|
702 1st St Sw, Crosby, ND 58730-0658 | 7019656349 | ST. LUKE'S HOSPITAL |
Organization Legal Name | ST. LUKE'S HOSPITAL |
Physicians | 5 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cori Randall | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
Stanley R Stevens Jr. | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
Christine L Knudsvig | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
James R Hodges | Physician Assistant | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
Street Address |
702 1ST ST SW |
City | CROSBY |
State | ND |
Zip | 58730-0658 |
Name | Specialty | Organization | Address |
---|---|---|---|
Cori Randall | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
Stanley R Stevens Jr. | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
Christine L Knudsvig | Nurse Practitioner | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
James R Hodges | Physician Assistant | St. Luke's Hospital | 702 1st St Sw, Crosby, ND 58730-0658 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kami V Wehrman | Chiropractic | 106 N Main St, Box 7, Crosby, ND 58730-0007 | |
Melissa F Nystuen | Clinical Social Worker | 17 S Main St, Crosby, ND 58730-0136 |
City | CROSBY |
Zip Code | 58730 |
Specialty | FAMILY MEDICINE |
City + Specialty | CROSBY + FAMILY MEDICINE |
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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.