DEREK JUDE KRINOCK MD
NPI 1467913590
Student in an Organized Health Care Education/Training Program in Little Rock, AR

Active since March 29, 2019PECOS Enrolled
4301 W MARKHAM ST # 520, LITTLE ROCK, AR 72205(501) 686-6627 Get Directions Write a Review

NPPES record last updated: March 29, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Derek Jude Krinock Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEREK JUDE KRINOCK MD (NPI 1467913590) is an individual student in an organized health care education/training program in Little Rock, Arkansas and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1467913590
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK JUDE KRINOCKCredential: MD
Location Address4301 W MARKHAM ST # 520Little Rock, AR 72205-7101
Mailing Address2021 N Lemans Blvd Unit 2311Tampa, FL 33607-1141 · (269) 903-9256
Sole ProprietorYes
Enumeration DateMarch 29, 2019
NPI 1467913590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

4301 W MARKHAM ST # 520, Little Rock, AR 72205

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Derek Jude Krinock Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Surgery (Surgical Critical Care)
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Student in an Organized Health Care Education/Training Program
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205
Surgery (Vascular Surgery)
4301 W MARKHAM ST # 520
LITTLE ROCK, AR 72205

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467913590, enumerated as an "individual" on March 29, 2019.

The provider is located at 4301 W MARKHAM ST # 520 LITTLE ROCK, AR 72205 and the phone number is (501) 686-6627.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.