Mary Frances Dennis Kretzer, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J4883 Issued in TX

Practice address

1219 Parker
Goldthwaite, TX 76844

Phone

(325) 648-2862

Fax

(325) 648-3871

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456963200000",
    "number": "1821177890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 COUNTY ROAD 220",
            "address_2": "PO BOX 1408",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "768443016",
            "telephone_number": "325-451-4107",
            "fax_number": "325-948-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 PARKER",
            "city": "GOLDTHWAITE",
            "state": "TX",
            "postal_code": "76844",
            "telephone_number": "325-648-2862",
            "fax_number": "325-648-3871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRETZER",
        "first_name": "MARY",
        "middle_name": "FRANCES DENNIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2016-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J4883",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122306703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hamilton County Hospital District (Mills County Physical Therapy)
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• Johnson Home
• Nancy Kuhnkey Knight, RPH
• Joe M. Leverett, D. C.
• Kristi Leverett, LPC
• Majestic Emergency Medical Services Inc
• McMahan Pharmacy Services, Inc.
• Mills County Eye Care P. C.

• Family Medicine Physician in Goldthwaite, TX
• Providers in Goldthwaite, 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 Mar 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.