Cheryl B Kroeker (NPI# 1730112574, PAC ID# 2466469879) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
Nation Provider ID (NPI) | 1730112574 |
PAC ID by PECOS | 2466469879 |
Professional Enrollment ID | I20061221000074 |
Full Name | Cheryl B Kroeker |
Organization Legal Name | INTEGRATED COMMUNITY CLINICS PA |
Address |
108 Main Ave Chouteau OK 74337-2842 |
Phone Number | 9184766030 |
Gender | F |
Credential | DO |
Medical School | OKLAHOMA COLLEGE OF OSTEOPATHIC MEDICINE AND SURGERY |
Graduation Year | 2004 |
Primary Specialty | EMERGENCY MEDICINE |
Group Practice PAC ID | 2567361165 |
Number of Group Practice Members | 27 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
370015 | HILLCREST HOSPITAL PRYOR |
370001 | HILLCREST MEDICAL CENTER |
370039 | HILLCREST HOSPITAL CLAREMORE |
370166 | WAGONER COMMUNITY HOSPITAL |
Address | Phone | Organization |
---|---|---|
108 Main Ave, Chouteau, OK 74337-2842 | 9184766030 | INTEGRATED COMMUNITY CLINICS PA |
451 S Holly St, Siloam Springs, AR 72761-3018 | 4795243141 | INTEGRATED COMMUNITY CLINICS PA |
Organization Legal Name | INTEGRATED COMMUNITY CLINICS PA |
Physicians | 33 |
Name | Specialty | Organization | Address |
---|---|---|---|
Stacy L Johnson | Nurse Practitioner | Integrated Community Clinics Pa | 1261 E Tulsa Ave, Kansas, OK 74347-7026 |
Ezra L Cole | Pediatric Medicine | Integrated Community Clinics Pa | 1101 -2 N Progress Ave, Siloam Springs, AR 72761-1374 |
Teresa B Mckinney | Physician Assistant | Integrated Community Clinics Pa | 1250 W Valley Dr, Siloam Springs, AR 72761-3018 |
Dan J Springer | Family Medicine | Integrated Community Clinics Pa | 451 S Holly St, Siloam Springs, AR 72761-3018 |
Ashish Mathur | Family Medicine | Integrated Community Clinics Pa | 643 E 3rd St, Gentry, AR 72734-8258 |
Mark Edgar Miller | Family Medicine | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
Lora M Collier | Family Medicine | Integrated Community Clinics Pa | 609 E Main St, Locust Grove, OK 74352-5139 |
Michael Davis Payne Ii | Family Medicine | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
Jamie L Mcdermott | Registered Dietitian Or Nutrition Professional | Integrated Community Clinics Pa | 2630 E Citizens Dr, Suite 3, Fayetteville, AR 72703-4797 |
Jacob C Hostetler | Family Medicine | Integrated Community Clinics Pa | 1121 Neo Loop, Grove, OK 74344-6046 |
Street Address |
108 MAIN AVE |
City | CHOUTEAU |
State | OK |
Zip | 74337-2842 |
City | CHOUTEAU |
Zip Code | 74337 |
Specialty | EMERGENCY MEDICINE |
City + Specialty | CHOUTEAU + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Cheryl B Kroeker.
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.