Shaun H Kretzschmar, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J9140 Issued in TX

Practice address

317 N FM Road 1187
Aledo, TX 76008-4200

Phone

(817) 441-7181

Fax

(817) 441-7893

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of North Texas HSC, College of Osteopathic Med, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shaun Kretzschmar DO PAGroup PAC ID 6800192212, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beyondfaith Homecare & Rehab of Ft Worth LLC Home health agency, Weatherford, TX, CCN 747521
• Medical City Weatherford Hospital, Weatherford, TX, CCN 450203
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135
• Lake Granbury Medical Center Hospital, Granbury, TX, CCN 450596

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shaunkretzschmar@afmw.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shaun Kretzschmar DO PA

  • Family Medicine Physician
  • Aledo, TX
  • NPI 1912379322
  Medicare reassignment Care Compare group NPD Authorized official
• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beyondfaith Homecare & Rehab of Ft Worth, LLC

  • Home Health Agency
  • Weatherford, TX
  • NPI 1225366958
  Care Compare affiliation
• Granbury Hospital Corporation

  • General Acute Care Hospital
  • Granbury, TX
  • NPI 1114998911
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation
• Weatherford Health Services, LLC

  • General Acute Care Hospital
  • Weatherford, TX
  • NPI 1417471467
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1386675502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 N FM ROAD 1187",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084200",
            "telephone_number": "817-441-7181",
            "fax_number": "817-441-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 N FM ROAD 1187",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760084200",
            "telephone_number": "817-441-7181",
            "fax_number": "817-441-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZSCHMAR",
        "first_name": "SHAUN",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J9140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suhail Khan, M.D.
• Ashley Morgan Kirkland
• KLC Pediatric Therapy, LLC
• Sandy Koneiber
• Kreich Consulting, LLC
• Kris Daniel Porter, MD, PA
• Rylie Michelle Kubes, D.C.
• Linda Roberts Kurland, SLP
• Rebecca L Lee, M.S. CCC-SLP
• Liberty Electrodiagnostics PLLC

• Family Medicine Physician in Aledo, TX
• Providers in Aledo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.