Erin Paige Kruckenberg, PA-C
Erin Paige Kruckenberg, PA-C is a Physician Assistant in Woodward, Oklahoma. Graduated from University of Oklahoma College of Medicine in 2017, 9 years ago. Practices with Oliver Street 5 01(A) Inc, a 168-clinician group and accepts Medicare assignment. Licensed in Oklahoma.
- Years since qualifying
- 9
- Trained at
- University of Oklahoma College of Medicine
- Licensed in
- OK
- In the registry since
- 2017
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
916 19th StWoodward, OK 73801-2334
Phone: (580) 238-5734
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2828 (OK) |
|---|
Record details
| NPI number | 1538675624 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | December 27, 2017 |
| Last updated in NPPES | October 6, 2022 |
| Certification date | October 6, 2022 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE |
| Graduated | 2017 (9 years in practice) |
| Group practice | Oliver Street 5.01(A) Inc — 168 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Woodward
-
Terran Hart, PA
1101 Hillcrest Dr Ste B, Woodward, OK 73801-3027 · (580) 256-3608
-
Bradley Dale Pittman, PA-C
1000 15th St, Woodward, OK 73801 · (580) 256-1236