PHYSICIANS OF KING'S DAUGHTERS, PA


Address: 1909 Sw H K Dodgen Loop, Temple, TX 76502-1814
Phone: 2542951210

PHYSICIANS OF KING'S DAUGHTERS, PA (NPI# 1518268812) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518268812
Entity Type Organization
Organization Name PHYSICIANS OF KING'S DAUGHTERS, PA
Other Organization Name KING'S DAUGHTERS CLINIC
Practice Address 1909 Sw H K Dodgen Loop
Temple
TX 76502-1814
Mailing Address 1905 Sw H K Dodgen Loop
Temple
TX 76502-1814
Practice Telephone 2542951210
Practice Fax Number 2542951205
Mailing Telephone 2542982400
Mailing Fax Number 2547787197
Enumeration Date 2010-11-03
Last Update Date 2010-11-03
Authorized Official Name DR. JEFFERY D. KROLL (PRESIDENT)
Authorized Official Telephone 2542982400
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name PHYSICIANS OF KING'S DAUGHTERS, PA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
R04610 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 110836702 05

Other Provider/Organization Names

Other Name Type Code
King's Daughters Clinic Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1619213873 Physicians of King's Daughters, Pa Internal Medicine 800 W Central Texas Expy, Harker Heights, TX 76548-1899 2012-12-17
1134465396 Physicians of King's Daughters, Pa Obstetrics & Gynecology 2025 Memory Ln, Suite 500, Harker Heights, TX 76548-7487 2012-12-17
1033375076 Physicians of King's Daughters, Pa Allergy & Immunology 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 2008-07-30
1609066620 Physicians of King's Daughters, Pa Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 2007-07-26
1710103163 Physicians of King's Daughters, Pa Durable Medical Equipment & Medical Supplies 1713 Sw H K Dodgen Loop, Temple, TX 76502-1836 2007-04-17
1184840530 Physicians of King's Daughters, Pa Durable Medical Equipment & Medical Supplies 401 W Jasper Dr, Killeen, TX 76542-1323 2007-04-17
1992921340 Physicians of King's Daughters, Pa Durable Medical Equipment & Medical Supplies 1817 Sw H K Dodgen Loop, Temple, TX 76502-1815 2007-04-17
1801012257 Physicians of King's Daughters, Pa Durable Medical Equipment & Medical Supplies 1717 Sw H K Dodgen Loop, Temple, TX 76502-1838 2007-04-17
1740406198 Physicians of King's Daughters, Pa Durable Medical Equipment & Medical Supplies 1300 E 6th Ave, Belton, TX 76513-2810 2007-04-17
1275756264 Physicians of King's Daughters, Pa Clinic/Center 1905 Sw H K Dodgen Loop, Temple, TX 76502-1814 2007-04-10

Office Location

Street Address 1909 SW H K DODGEN LOOP
City TEMPLE
State TX
Zip Code 76502-1814

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508489782 Seton Family of Doctors Clinic/Center 1909 Sw H K Dodgen Loop, Suite A, Temple, TX 76502 2020-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033710850 Bih Mobanoe Chi Pharmacist 6801 West Adams Avenue, Temple, TX 76502 2020-11-06
1639705403 Robert David Pompella Chiropractor 4805 Stone Ridge Dr, Temple, TX 76502 2020-03-12
1275167488 Luong Dental, LLC Dentist 5297 S. 31st Street, Ste 111, Temple, TX 76502 2020-02-26
1093357931 Ryan T Stephens Dmd Pllc Dentist 5408 W. Adams Suite 102, Temple, TX 76502 2019-10-11
1164071817 Danyelle Denise Pividori Licensed Vocational Nurse 992 Marlandwood Rd, Temple, TX 76502 2019-09-05
1831670652 Jane Lida Jarosz Registered Nurse 99 Marlandwood, Temple, TX 76502 2018-08-29
1043791809 Elsa Gamban Baker Licensed Practical Nurse 5711 Hopkins Dr, Temple, TX 76502 2018-08-28
1659859288 Laura Bright Licensed Vocational Nurse 990 Marlanwood, Temple, TX 76502 2018-08-06
1811489974 Rockdale Blackhawk, LLC Clinic/Center 1909 Sw Hk Dodgen Loop, Temple, TX 76502 2018-06-05
1871094573 Moc Temple, LLC Skilled Nursing Facility 725 Marlandwood Rd., Temple, TX 76502 2018-02-27
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134574882 Kurt Fraivillig Radiology 2401 S 31st St # Ms 01w256, Temple, TX 76508-0001 2016-05-02
1699069260 Grace M Thomas Radiology 1213 Waters Dairy Rd, Apt 1015, Temple, TX 76502-3425 2011-06-01
1851453534 Matthew Brandon Crisp Radiology Scott & White Healthcare Radiology, 2401 S 31st St, Temple, TX 76508-0001 2006-12-15
1285743369 Johnnie Gene Hutka Radiology 7312 Boutwell Dr., Temple, TX 76502-4208 2006-08-30
1750497566 Harry Heungho Ko Radiology 1901 S 1st Street, Temple, TX 76504-9976 2006-08-22
1205849445 Yashodeep P Jadhav Radiology 1901 S First Street, Temple, TX 76504-9976 2006-08-15
1538157771 Gordon Vincent Radiology 1901 South 1st Street, Imaging Service (114t), Temple, TX 76504-7451 2005-10-12
1720436900 Jared Corn Radiology 2401 S 31st St, Temple, TX 76508-0001 2016-05-29
1053768788 Robert Edward Smith Radiology 2401 S 31st St, Temple, TX 76508-0001 2016-05-23
1598142226 Gregory Ryan Stenoien Radiology 2401 S 31st St, Ms-01-w256, Temple, TX 76508-0001 2015-05-01
Find all providers in TEMPLE

Competitor

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City TEMPLE
Zip Code 76502

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Dataset Information

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.

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