Jack Byron Crider, MD | |
387 Town Mountain Rd, Ste 202, Pikeville, KY 41501-1640 | |
(606) 437-1008 | |
(606) 437-5040 |
Full Name | Jack Byron Crider |
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Gender | Male |
Speciality | Pediatrics |
Location | 387 Town Mountain Rd, Pikeville, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437145091 | NPI | - | NPPES |
64031610 | Medicaid | KY | |
1812140000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 35982 (Kentucky) | Primary |
Entity Name | Spero Health Of Kentucky, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982102109 PECOS PAC ID: 1052792041 Enrollment ID: O20220721003823 |
Mailing Address | Practice Location Address |
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Jack Byron Crider, MD 387 Town Mountain Rd, Ste 202, Pikeville, KY 41501-1640 Ph: (606) 437-1008 | Jack Byron Crider, MD 387 Town Mountain Rd, Ste 202, Pikeville, KY 41501-1640 Ph: (606) 437-1008 |
M Zuhdi Alimam, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 156 Island Creek Rd, Pediatric Associates, Pikeville, KY 41501 Phone: 606-432-3221 Fax: 606-437-0438 | |
Alexander M Saurer, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 140 Adams Ln Ste 300, Pikeville, KY 41501 Phone: 606-230-2255 Fax: 606-437-3001 | |
Stan Michael Johnson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 238 Cassidy Blvd, Pikeville, KY 41501 Phone: 606-430-2230 Fax: 606-437-2526 | |
Shylah Napier, Pediatrics Medicare: Medicare Enrolled Practice Location: 238 Cassidy Blvd, Pikeville, KY 41501 Phone: 606-430-3500 | |
Zonia G Barbosa Caceres, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 Fax: 606-218-4697 | |
Jyothi Mettu, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 387 Town Mountain Rd, Ste 108, Pikeville, KY 41501 Phone: 606-437-4925 Fax: 606-437-4930 | |
Dr. Matthew Todd Hambleton, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 911 Bypass Rd Bldg A, Pikeville, KY 41501 Phone: 606-430-3500 |