Kraig Abram Dekoker (NPI# 1043472350, PAC ID# 2062587546) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1043472350 |
| PAC ID by PECOS | 2062587546 |
| Professional Enrollment ID | I20080818000706 |
| Full Name | Kraig Abram Dekoker |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Address |
612 N High St Suite A Henderson TX 75652-5914 |
| Phone Number | 9036571441 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4486915600 |
| Number of Group Practice Members | 206 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450475 | ETMC HENDERSON |
| 450210 | EAST TEXAS MEDICAL CENTER - CARTHAGE |
| Address | Phone | Organization |
|---|---|---|
| 18118 Fm 344, Ut Health East Texas Physicians, Flint, TX 75762-6010 | 9038253292 | ETMC PHYSICIAN GROUP, INC. |
| 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 | 9036556536 | ETMC PHYSICIAN GROUP, INC. |
| 612 N High St, Suite A, Henderson, TX 75652-5914 | 9036571441 | ETMC PHYSICIAN GROUP, INC. |
| 203 Nacogdoches St, Jacksonville, TX 75766-2453 | ETMC PHYSICIAN GROUP, INC. |
| Organization Legal Name | ETMC PHYSICIAN GROUP, INC. |
| Physicians | 178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Varalaxmi Nannaka | Pulmonary Disease | Etmc Physician Group, Inc. | 305 Cottage Rd, Carthage, TX 75633-1511 |
| Betsy Jill Chappell | Nurse Practitioner | Etmc Physician Group, Inc. | 406 E Hwy 243, Canton, TX 75103-2409 |
| Andrea Corine Cooley | Cardiac Surgery | Etmc Physician Group, Inc. | 1000 E 5th St, Suite 400, Tyler, TX 75701-3362 |
| Jason S Murry | General Surgery | Etmc Physician Group, Inc. | 1020 E Idel St, Ut Health East Texas Physicians, Tyler, TX 75701-2024 |
| Ronald J Pinkenburg | Ophthalmology | Etmc Physician Group, Inc. | 16911 Village Lake Dr, Lindale, TX 75771-5065 |
| Francine Fraser Mccain | Obstetrics/gynecology | Etmc Physician Group, Inc. | 1336 S Palestine St, Athens, TX 75751-3621 |
| Lori Fuquay | Nurse Practitioner | Etmc Physician Group, Inc. | 601 Hwy 110 N, Suite O, Whitehouse, TX 75791-3037 |
| Michael Jason Chastant | Nurse Practitioner | Etmc Physician Group, Inc. | 2608 Mcdonald Rd, Tyler, TX 75701-5934 |
| Joseph Leonard Decarlo | Urology | Etmc Physician Group, Inc. | 911 S Beckham Ave, Tyler, TX 75701-1907 |
| Eric D Reed | Otolaryngology | Etmc Physician Group, Inc. | 301 W 19th St, Mt Pleasant, TX 75455-2322 |
| Street Address |
612 N HIGH ST SUITE A |
| City | HENDERSON |
| State | TX |
| Zip | 75652-5914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruston J Bray | Physician Assistant | Etmc Physician Group, Inc. | 612 N High St, Suite A, Henderson, TX 75652-5914 |
| Roger C Sessions | Orthopedic Surgery | Etmc Physician Group, Inc. | 612 N High St, Suite A, Henderson, TX 75652-5914 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karen Bowery | Nurse Practitioner | Senior Psychcare of Dallas I Pllc | 1010 W Main St, Henderson Health and Rehabilitation, Henderson, TX 75652-2923 |
| Sally A Thompson | Nurse Practitioner | Henderson Family Medicine, Pllc | 105 N High St, Henderson, TX 75652-3133 |
| Tad W Titlow | Nurse Practitioner | Henderson Family Medicine, Pllc | 105 N High St, Henderson, TX 75652-3133 |
| Michael C Colotta | Nurse Practitioner | Henderson Family Medicine, Pllc | 105 N High St, Henderson, TX 75652-3133 |
| Laci L Morgan | Psychologist, Clinical | 115 E Main St, Henderson, TX 75652-3167 | |
| William I O Mara | Chiropractic | 205 N Main St, Henderson, TX 75652-3169 | |
| Mary J Starling | Emergency Medicine | Etmc Physician Group, Inc. | 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 |
| Mica Ladon Norman | Nurse Practitioner | Henderson Hospital, LLC | 300 Wilson St, Henderson, TX 75652-5956 |
| Robert T Buchanan | General Surgery | Etmc Physician Group, Inc. | 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 |
| Augustine Njoku | Cardiovascular Disease (cardiology) | Etmc Physician Group, Inc. | 300 Wilson St, Ut Health East Texas Physicians, Henderson, TX 75652-5956 |
| Find all physicians in zip 75652 | |||
| City | HENDERSON |
| Zip Code | 75652 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | HENDERSON + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Kraig Abram Dekoker.
| 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.