JON KROENKE (NPI# 1083028013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083028013 |
| Entity Type | Individual |
| Full Name | JON KROENKE |
| Credential | M.D. |
| Practice Address |
3775 45th Avenue Columbus NE 68601 |
| Mailing Address |
P O Box 1066 Columbus NE 68602 |
| Practice Telephone | 4025647200 |
| Practice Fax Number | 4025647210 |
| Mailing Telephone | 4025647200 |
| Mailing Fax Number | 4025647210 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 30105 | NE | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 7239 | NE | Allopathic & Osteopathic Physicians |
| Street Address |
3775 45TH AVENUE |
| City | COLUMBUS |
| State | NE |
| Zip Code | 68601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295014983 | Amberlace A Citta | Nurse Practitioner | 3775 45th Avenue, Columbus, NE 68601 | 2011-08-11 |
| 1992110936 | Margaret Ann Egbarts | Pediatrics | 3775 45th Avenue, Columbus, NE 68601 | 2014-06-28 |
| 1487095964 | Rachel C Magana | Physician Assistant | 3775 45th Avenue, Columbus, NE 68601 | 2013-07-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730612433 | Cassie L. Snodgrass | Massage Therapist | 3763 39th Ave Suite 100, Columbus, NE 68601 | 2017-04-10 |
| 1184176935 | Janelle Ryan | Speech-Language Pathologist | 2410 16th Street, Columbus, NE 68601 | 2016-10-27 |
| 1366994113 | Lorie Young | Speech-Language Pathologist | 2508 27th Street, Columbus, NE 68601 | 2016-10-27 |
| 1649722497 | Joette Post | Speech-Language Pathologist | 4100 Adamy Street, Columbus, NE 68601 | 2016-10-27 |
| 1699144360 | Sara Werner | Speech-Language Pathologist | 3744 83rd St, Columbus, NE 68601 | 2015-09-23 |
| 1811376627 | Karla Kay Wagner | Counselor | 3309 31st Street, Columbus, NE 68601 | 2015-05-26 |
| 1457630535 | Erin Brooke Schmidt | Speech-Language Pathologist | 3005 35th Street, Columbus, NE 68601 | 2011-08-08 |
| 1831483239 | Kelli Parsons | Counselor | 3314 26th St Ste A, Columbus, NE 68601 | 2011-06-02 |
| 1699926758 | East Central District Health Department Reproductive Health Clinic | Obstetrics & Gynecology | 2282 East 32nd Ave, Columbus, NE 68601 | 2008-10-08 |
| 1316107238 | Amber Shanle | Social Worker | 5124 23 St, Columbus, NE 68601 | 2008-06-13 |
| Find all providers in zip 68601 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1649736042 | Ece Baris | Pediatrics | 5900 River Rd # 401, Columbus, GA 31904-4578 | 2019-02-11 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| 1457763096 | Darren Klawinski | Pediatrics | 700 Childrens Dr # Drive5, Columbus, OH 43205-2664 | 2014-06-02 |
| 1689002198 | Pediatric Partners of Columbus PC | Pediatrics | 1336 3rd Avenue, Suite B, Columbus, GA 31901-2114 | 2013-10-18 |
| 1639450877 | Mercymed of Columbus Inc | Pediatrics | 3702 2nd Avenue, Columbus, GA 31904 | 2011-09-01 |
| 1558658997 | Shilpa Jeevan Vernekar | Pediatrics | 1546 10th Ave Ste A, Columbus, GA 31901-3613 | 2011-07-06 |
| 1053605642 | W Lloyd Hudson Jr | Pediatrics | 5652 Veterans Pkwy, Columbus, GA 31904-9002 | 2011-06-01 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.