Crystal D Faudere (NPI# 1083685291, PAC ID# 4981633179) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1083685291 |
| PAC ID by PECOS | 4981633179 |
| Professional Enrollment ID | I20050808001081 |
| Full Name | Crystal D Faudere |
| Organization Legal Name | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Address |
2710 W Central Ave Sba Urgent Care Clinic El Dorado KS 67042-3285 |
| Phone Number | 3164525860 |
| Gender | F |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 7719898980 |
| Number of Group Practice Members | 35 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170017 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 | 3164525860 | SUSAN B ALLEN MEMORIAL HOSPITAL |
| 700 W Central Ave, Suite 205, El Dorado, KS 67042-2186 | 3163212010 | EL DORADO CLINIC, P.A. |
| Organization Legal Name | SUSAN B ALLEN MEMORIAL HOSPITAL |
| Physicians | 27 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Meredith H Stringer | Nurse Practitioner | Susan B Allen Memorial Hospital | 401 W 7th Ave, 101 Augusta Immediate Care Clinic, Augusta, KS 67010-1309 |
| Jason P Brunton | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Russell R Mccaig | Physician Assistant | Susan B Allen Memorial Hospital | 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 |
| Brian J Hunt | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Allison Edwards | Emergency Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Phillip S Olsen | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Kevin A Heath | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Patricia M Petrakis | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group, El Dorado, KS 67042-2112 |
| Ashley M Greer | Nurse Practitioner | Susan B Allen Memorial Hospital | 720 W Central Ave, 111 Sba Medical Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Iram A Sirajuddin | Pediatric Medicine | Susan B Allen Memorial Hospital | 401 W 7th Ave, Augusta, KS 67010-1309 |
| Street Address |
2710 W CENTRAL AVE SBA URGENT CARE CLINIC |
| City | EL DORADO |
| State | KS |
| Zip | 67042-3285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Russell R Mccaig | Physician Assistant | Susan B Allen Memorial Hospital | 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 |
| Lindsay K Depperschmidt | Nurse Practitioner | Susan B Allen Memorial Hospital | 2710 W Central Ave, Sba Urgent Care Clinic, El Dorado, KS 67042-3285 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry L Abraham | Podiatry | 321 N Main St, Eldorado, KS 67042-2021 | |
| Dawn M Gadberry | Clinical Social Worker | South Central Mental Health Counseling Center, Inc | 524 N Main St, El Dorado, KS 67042-2024 |
| Gregory P Joyce | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Rosemarie A Wilson | Chiropractic | 215 N Vine St, El Dorado, KS 67042-2055 | |
| Amanda L Hursh | Optometry | Drs Joyce and Hursh LLC | 201 N Vine St, El Dorado, KS 67042-2055 |
| Jason P Brunton | Family Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Henry R Kuhns Jr. | Internal Medicine | 720 W Central, El Dorado, KS 67042-2112 | |
| Brian J Hunt | Internal Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Med Group Occupational Medicine, El Dorado, KS 67042-2112 |
| Allison Edwards | Emergency Medicine | Susan B Allen Memorial Hospital | 720 W Central Ave, Sba Medical Group Hospitalist, El Dorado, KS 67042-2112 |
| Kyle M Tipton | Internal Medicine | 720 W Central Ave, Susan B Allen Memorial Hospital, El Dorado, KS 67042-2112 | |
| Find all physicians in zip 67042 | |||
| City | EL DORADO |
| Zip Code | 67042 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | EL DORADO + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Crystal D Faudere.
| 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.