MARK A KROLL (NPI# 1568494136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568494136 |
| Entity Type | Individual |
| Full Name | MARK A KROLL |
| Credential | MD |
| Practice Address |
108 Bravo Blvd Glasgow KY 42141-3412 |
| Mailing Address |
3252 Aspen Grove Dr Ste 1 Franklin TN 37067-4894 |
| Practice Telephone | 2706512181 |
| Practice Fax Number | 2706512183 |
| Mailing Telephone | 6157869044 |
| Mailing Fax Number | 6157717406 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-06-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 48769 | KY | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 41304 | TN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124625579 | Mark Kroll | Physical Therapist | 239 Estall Rd, Rochester, NY 14616-3847 | 2020-10-07 |
| 1144751348 | Mark Durham Kroll | Counselor | 2435 Kestral Blvd Apt D, West Lafayette, IN 47906-6702 | 2017-03-21 |
| 1174598619 | Mark S Kroll | Specialist | 501 Iron Bridge Rd, Suite 15, Freehold, NJ 07728-5304 | 2006-02-20 |
| 1124030499 | Mark R Kroll | Emergency Medicine | 2253 W Mason St, Green Bay, WI 54303-4706 | 2006-08-13 |
| Street Address |
108 BRAVO BLVD |
| City | GLASGOW |
| State | KY |
| Zip Code | 42141-3412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902896640 | George Paul Rooney | Optometrist | 108 Bravo Blvd, Glasgow, KY 42141-3478 | 2005-10-25 |
| 1215474606 | David Thompson | Technician/Technologist | 108 Bravo Blvd, Glasgow, KY 42141-3412 | 2017-01-24 |
| 1528347382 | Southern Kentucky Anesthesia Services Psc | Anesthesiology | 108 Bravo Blvd, Glasgow, KY 42141-3412 | 2011-08-11 |
| 1316922891 | Mcpeak Vision Partners Psc | Ophthalmology | 108 Bravo Blvd, Glasgow, KY 42141 | 2005-12-07 |
| 1801871389 | Mcpeak Vision Partners Psc | Eyewear Supplier (Equipment, not the service) | 108 Bravo Blvd, Glasgow, KY 42141-3478 | 2005-12-07 |
| 1700876455 | Spencer Broady Witcher | Ophthalmology | 108 Bravo Blvd, Glasgow, KY 42141-3478 | 2005-10-25 |
| 1881684538 | Mcpeak Surgery Center LLC | Clinic/Center | 108 Bravo Blvd, Glasgow, KY 42141-3478 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710505912 | Adriene Elizabeth Wilson | Nurse Practitioner | 310 N. L. Rogers Blvd., Glasgow, KY 42141 | 2020-07-14 |
| 1649896648 | Katrina Antonette Casanova Tinoco | Student in an Organized Health Care Education/Training Program | 1325 North Race St., University of Louisville/glasgow, Glasgow, KY 42141 | 2020-06-25 |
| 1245744630 | Town and Country Pharmacy Inc. | Durable Medical Equipment & Medical Supplies | 742a East Main Street, Glasgow, KY 42141 | 2017-11-22 |
| 1821413022 | Russell England | Nurse Practitioner | 370 Beaver Mound Circle, Glasgow, KY 42141 | 2014-02-25 |
| 1447507439 | Rehabcare | Skilled Nursing Facility | 109homewoodblvd, Glasgow, KY 42141 | 2012-08-08 |
| 1578847778 | Alexander Kwadwo Somuah | Pharmacist | 1001 W. Main St, Glasgow, KY 42141 | 2011-10-06 |
| 1518240522 | William David Wiley | Pharmacist | 1001 West Main St., Glasgow, KS 42141 | 2011-09-26 |
| 1003121732 | Teresa Katherine Essex | Speech-Language Pathologist | 341 Ginger Rd, Glasgow, KY 42141 | 2010-08-18 |
| 1396915468 | R David Fant Md Psc | Pediatrics | 1407 North Race St, Glasgow, KY 42141 | 2008-03-05 |
| 1003021957 | Eddy Joe Newberry II | Dentist | 400 S. Broadway, Glasgow, KY 42141 | 2007-05-14 |
| Find all providers in zip 42141 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912997669 | Dailey Mcpeak | Ophthalmology | 1507 Bravo Blvd, Glasgow, KY 42141-3478 | 2005-10-25 |
| 1740285832 | James Michael Rynerson | Ophthalmology | 405 S L Rogers Wells Blvd, Glasgow, KY 42141-1725 | 2005-06-16 |
| 1164578175 | James M Rynerson, Md, Psc | Ophthalmology | 405 S L Rogers Wells Blvd, Glasgow, KY 42141-1725 | 2007-01-25 |
| 1316922891 | Mcpeak Vision Partners Psc | Ophthalmology | 108 Bravo Blvd, Glasgow, KY 42141 | 2005-12-07 |
| 1700876455 | Spencer Broady Witcher | Ophthalmology | 108 Bravo Blvd, Glasgow, KY 42141-3478 | 2005-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831722958 | Kentucky Eye Institue for Eye Health & Surgery | Ophthalmology | 130 Thompson Poynter Rd Ste 1, London, KY 40741-7280 | 2020-02-17 |
| 1558710970 | Christopher Areephanthu | Ophthalmology | 825 2nd Ave Ste A5, Bowling Green, KY 42101-1789 | 2016-06-07 |
| 1336503820 | Manan Raju Sampat | Ophthalmology | 1541 Lebanon Rd Ste 2, Danville, KY 40422-8349 | 2016-04-11 |
| 1588026181 | Michael S Tanner | Ophthalmology | 2720 Old Rosebud Rd Ste 110, Lexington, KY 40509-8005 | 2016-03-23 |
| 1528458023 | Senior Health Services LLC | Ophthalmology | 2410 Ring Rd, Suite 400, Elizabethtown, KY 42701-7994 | 2015-02-04 |
| 1447649827 | Senior Health Services LLC | Ophthalmology | 800 W Lincoln Trail Blvd, Suite 108, Radcliff, KY 40160-2671 | 2015-01-22 |
| 1477950269 | Tri-state Centers for Sight, Inc | Ophthalmology | 802 Scott St, Covington, KY 41011-2420 | 2014-11-24 |
| 1437554102 | Kyle M Ferguson | Ophthalmology | 1937 Old Main St Ste 1, Maysville, KY 41056-8956 | 2014-10-23 |
| 1609282375 | James Matthew Huffman | Ophthalmology | 120 N Eagle Creek Dr Ste 431, Lexington, KY 40509 | 2014-07-02 |
| 1588086508 | Lori Bettenhausen Williams | Ophthalmology | 1413 Evergreen Rd, Anchorage, KY 40223 | 2014-01-09 |
| 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.