| Taylor Crothers, | |
|
300 2nd Ave Ne, Jamestown, ND 58401-3373 | |
| (701) 251-6000 | |
| Not Available |
| Full Name | Taylor Crothers |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 300 2nd Ave Ne, Jamestown, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235704982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 17438 (North Dakota) | Secondary |
| 207Q00000X | Family Medicine | 21002 (North Dakota) | Primary |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821044652 PECOS PAC ID: 2264341031 Enrollment ID: O20040128000565 |
| Entity Name | Lutheran Charity Association |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1548256753 PECOS PAC ID: 2264341031 Enrollment ID: O20080616000530 |
| Entity Name | Sanford Medical Center Fargo |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184917924 PECOS PAC ID: 8426967803 Enrollment ID: O20110331000495 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Crothers, Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Taylor Crothers, 300 2nd Ave Ne, Jamestown, ND 58401-3373 Ph: (701) 251-6000 |
Dale J Ernster, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 401 3rd St Se, Jamestown, ND 58401 Phone: 701-253-5300 Fax: 701-253-5402 | |
Christopher Irmen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 2nd Ave Ne, Jamestown, ND 58401 Phone: 701-253-4020 | |
David M Muhs, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4020 Fax: 701-253-4040 | |
Sarah L Schatz, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4000 | |
Dr. Kilby P Osborn Iv, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2430 20th St Sw, Jamestown, ND 58401 Phone: 701-253-5300 | |
Justin Jackson Rosenau, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 904 5th Ave Ne, Jamestown, ND 58401 Phone: 701-253-4000 |