Richard Kroll (NPI# 1831173582, PAC ID# 0446329338) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1831173582 |
| PAC ID by PECOS | 0446329338 |
| Professional Enrollment ID | I20190625003608 |
| Full Name | Richard Kroll |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Address |
1712 Sycamore Ave Kingman AZ 86409-0927 |
| Phone Number | 9286818686 |
| Gender | M |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1972 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 6901791367 |
| Number of Group Practice Members | 144 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030055 | KINGMAN REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1712 Sycamore Ave, Kingman, AZ 86409-0927 | 9286818686 | KINGMAN HOSPITAL INC |
| Organization Legal Name | KINGMAN HOSPITAL INC |
| Physicians | 136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy Harris Kaplan | Gastroenterology | Kingman Hospital Inc | 1739 E Beverly Ave, Suite 101, Kingman, AZ 86409-3593 |
| Kathleen B Walton | Nurse Practitioner | Kingman Hospital Inc | 4995 E Hwy 68, Suite 1, Golden Valley, AZ 86413-5500 |
| Michael Deboer | Family Medicine | Kingman Hospital Inc | 1726 E Beverly Ave, Suite A, Kingman, AZ 86409-3500 |
| Ben Tacheron | Pain Management | Kingman Hospital Inc | 3801 Santa Rosa Dr, Kingman, AZ 86401-2311 |
| Christopher A Porter Iv | Interventional Radiology | Kingman Hospital Inc | 1033 Sycamore Ave, Kingman, AZ 86409-3580 |
| Eric E Capriles | General Surgery | Kingman Hospital Inc | 3104 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Kale Bodily | Diagnostic Radiology | Kingman Hospital Inc | 1608 N Stockton Hill Rd, Suite 104, Kingman, AZ 86401-4142 |
| Sungnam Joe | Internal Medicine | Kingman Hospital Inc | 2226 Hualapai Mountain Rd, Suite 101, Kingman, AZ 86401-8374 |
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Deborah Raye Bennett | Family Medicine | Kingman Hospital Inc | 3116 N Stockton Hill Rd, Kingman, AZ 86401-4183 |
| Street Address |
1712 SYCAMORE AVE |
| City | KINGMAN |
| State | AZ |
| Zip | 86409-0927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel M Riesenberg | Urology | Kingman Hospital Inc | 1712 Sycamore Ave, Kingman, AZ 86409-0927 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sandra B Fedie | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| John A Weidner | Family Medicine | 3636 Stockton Hill Rd, Suite 2, Kingman, AZ 86409-0514 | |
| Jillian Musick | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Antony I Mwangi | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Muhammad A Khan | General Surgery | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Karen Gwinn | Nurse Practitioner | Arizona Institute of Medicine and Surgery | 3636 N Stockton Hill Rd, Kingman, AZ 86409-0514 |
| Munawar A Paracha | Neurology | 1708 Sycamore Ave, Kingman, AZ 86409-0927 | |
| Marie Bridget Moran | Nurse Practitioner | Mohave Mental Health Clinic Inc | 1741 Sycamore Ave, Kingman, AZ 86409-0927 |
| Michael S Serrano | Nurse Practitioner | Mohave Mental Health Clinic Inc | 3505 Western Ave, Kingman, AZ 86409-0927 |
| Annika J Bergeson | Nurse Practitioner | Arizona Desert Dermatology and Surgery PC | 1700 Sycamore Ave, Kingman, AZ 86409-0927 |
| Find all physicians in zip 86409 | |||
| City | KINGMAN |
| Zip Code | 86409 |
| Specialty | UROLOGY |
| City + Specialty | KINGMAN + UROLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.