DR. PATTY J CROCKER (NPI# 1831188911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831188911 |
| Entity Type | Individual |
| Full Name | DR. PATTY J CROCKER |
| Credential | M.D. |
| Practice Address |
9069 W Thunderbird Rd Peoria AZ 85381 |
| Practice Telephone | 6238762800 |
| Practice Fax Number | 6238762389 |
| Mailing Telephone | 6238762800 |
| Mailing Fax Number | 6238762389 |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2019-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 21076 | AZ | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | J4757 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 105650902 | 05 | |
| TX | STATE LICENSE | J4757 | 01 |
| AZ | 417643 | 05 |
| Street Address |
9069 W THUNDERBIRD RD |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962971572 | Kari Lenore Nimlos Ehm | Pharmacist | 9069 W Thunderbird Rd, Peoria, AZ 85381-4412 | 2018-11-13 |
| 1649653379 | Brittany A Mcarthur | Family Medicine | 9069 W Thunderbird Rd, Peoria, AZ 85381-4412 | 2015-06-30 |
| 1629020912 | Paul Sterrett | Registered Nurse | 9069 W Thunderbird Rd, Peoria, AZ 85381 | 2006-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205367802 | Medexpress Urgent Care Illinois, P.C. | Emergency Medicine | 5038 N Big Hollow Road, Peoria, IL 61615-3510 | 2017-03-24 |
| 1285049296 | Julia Hutchison | Emergency Medicine | 530 Ne Glen Oak Ave # Sfnb2624, Peoria, IL 61637-0001 | 2014-06-27 |
| 1891134151 | Kyle Fletcher Brown | Emergency Medicine | Osf Saint Francis Medical Center 530 Ne Glen Oak Ave, North Building 2620, Peoria, IL 61637-0001 | 2013-06-20 |
| 1366673436 | Joseph William Hauter | Emergency Medicine | 830 Ne Glen Oak Ave, Peoria, IL 61637 | 2009-08-06 |
| 1437380748 | Jeremy R Monroe | Emergency Medicine | 530 Glen Oak, Osf St Francis Medical Center, Peoria, IL 61637 | 2009-08-04 |
| 1568624708 | Brandon C Begley | Emergency Medicine | 540 Ne Glen Oak Ave, Peoria, IL 61603 | 2008-06-30 |
| 1114119880 | Suhail Khan | Emergency Medicine | Osf Stfrancis Medical Center Dept of Emergency Medicine, 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 | 2007-08-15 |
| 1962601351 | Tony Yun Hsu | Emergency Medicine | 3517 W Willow Knolls Dr, 1-f, Peoria, IL 61614-1090 | 2007-07-16 |
| 1053518092 | Michael M Raso | Emergency Medicine | 1115 N Bourland Ave, Peoria, IL 61606-1210 | 2007-07-02 |
| 1184670663 | Methodist Medical Center of Illinois | Emergency Medicine | 120 Ne Glen Oak Ave, Suite 101, Peoria, IL 61603 | 2006-05-26 |
| Find all providers in PEORIA | ||||
Please comment or provide details below to improve the information on DR. PATTY J CROCKER.
| 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.