DR. HAROLD DOUGLASS CRALL (NPI# 1366607582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366607582 |
| Entity Type | Individual |
| Full Name | DR. HAROLD DOUGLASS CRALL |
| Credential | MD |
| Practice Address |
4000 Morgan Rd Roederer Correctional Complex La Grange KY 40031-0069 |
| Mailing Address |
Po Box 69 Roederer Correctional Complex La Grange KY 40031-0069 |
| Practice Telephone | 5022220173 |
| Mailing Telephone | 5022220173 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
27106 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
4000 MORGAN RD ROEDERER CORRECTIONAL COMPLEX |
| City | LA GRANGE |
| State | KY |
| Zip Code | 40031-0069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723089 | Nancee L Berling | Registered Nurse | 1914 Miller Ln, La Grange, KY 40031 | 2018-06-06 |
| 1134643000 | Zachary Byrne | Dentist | 3108 S. Hwy 53, Lagrange, KY 40031 | 2017-08-01 |
| 1609399971 | Walgreen Co | Pharmacy | 408 Oldham Plaza, La Grange, KY 40031 | 2017-07-19 |
| 1447790886 | Carolyn Marie Burton | Speech-Language Pathologist | 4603 Timber Walk Ct., Lagrange, KY 40031 | 2017-03-05 |
| 1699145466 | Janet Frager | Nurse Practitioner | 1023 New Moody Ln Ste 101, La Grange, KY 40031 | 2015-10-05 |
| 1730559188 | Amanda Lynn Drawbaugh | Physical Therapist | Ascb Therapy, 4603 Timber Walk Ct., Lagrange, KY 40031 | 2015-09-29 |
| 1407250483 | Aaron Mangum | Specialist/Technologist | 2850 Jericho Road, Lagrange, KY 40031 | 2014-10-20 |
| 1073944500 | Tamara Thomas | Case Manager/Care Coordinator | 4121 Spencer Ct, Lagrange, KY 40031 | 2013-12-10 |
| 1669643854 | Alisa Marie Skinner | Physical Therapist | 618 Kentucky Ave, Lagrange, KY 40031 | 2008-03-17 |
| 1245410711 | Jennifer Lee Thomas | Nurse Practitioner | 1015 New Moody Lane, Lagrange, KY 40031 | 2007-11-13 |
| Find all providers in zip 40031 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363509 | The Well Wagon, LLC | Family Medicine | 2124 Dogoon Dr, Louisville, KY 40223-1147 | 2020-10-12 |
| 1396352332 | Erin Bryant Aprn Pllc | Family Medicine | 2407 Ring Rd Ste 133, Elizabethtown, KY 42701-5963 | 2020-09-24 |
| 1447883491 | Kristy Bryant | Family Medicine | 315 E Broadway Ste 103, Louisville, KY 40202-3700 | 2020-02-18 |
| 1053653717 | Charles Sinclair Mooney | Family Medicine | 2700 Bryan Station Rd, Lexington, KY 40516-9002 | 2013-03-20 |
| 1457624777 | Sam H. Reid | Family Medicine | 353 E Lexington Ave, Danville, KY 40422-1521 | 2012-02-16 |
| 1023311800 | Tj Health Partners LLC | Family Medicine | 312 N L Rogers Wells Blvd, Glasgow, KY 42141-1300 | 2010-12-16 |
| 1346440062 | Frank Lyons Do, Psc | Family Medicine | 775 E Tom T Hall Blvd, Olive Hill, KY 41164-7040 | 2007-07-20 |
| 1912033929 | Gregory Edward Mick | Family Medicine | 2285 Executive Dr, Suite 100, Lexington, KY 40505-4810 | 2007-02-26 |
| 1649329624 | Earnest F Oblander | Family Medicine | 1204 Winding Creek Pl, Louisville, KY 40245-5232 | 2007-01-09 |
| 1952499691 | James Ray Rich | Family Medicine | 5975 Taylor Mill Road, Covington, KY 41015-2397 | 2006-10-10 |
| Find all providers with the same taxonomy | ||||
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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.