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ALEDO FAMILY MEDICINE
NPI 1912379322
Family Medicine in Aledo, TX

Active since October 25, 2015CLIA 45D0888958 · Waiver
317 N FM 1187, ALEDO, TX 76008(817) 441-7181(817) 441-7893 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Aledo Family Medicine NPPES

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

ALEDO FAMILY MEDICINE (NPI 1912379322) is a healthcare organization registered as a family medicine in Aledo, Texas and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Shaun Harding Kretzschmar, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1912379322
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHAUN KRETZSCHMAR DO PA
Location Address317 N FM 1187Aledo, TX 76008-4200
Mailing Address317 N Fm 1187Aledo, TX 76008-4200 · (817) 441-7181 · Fax (817) 441-7893
Phone(817) 441-7181
Fax(817) 441-7893
Organization SubpartYes
Authorized OfficialShaun Harding KretzschmarOwner/physician · (817) 614-6878
Enumeration DateOctober 25, 2015
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1912379322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · J9140✔ Licensed in TX · J1940
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
317 N FM 1187, Aledo, TX 76008
Open in Google Maps ↗

Other Names 1

Doing Business AsAledo Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0888958

Aledo Family Medicine · Aledo, TX
Active · expires Jan 23, 2027
CLIA Number45D0888958
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorShaun H. Kretzschmar
Laboratory Phone(817) 441-7181
Laboratory LocationAledo Family Medicine317 Fm1187 North, Aledo, TX 76008
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

KRISTINE L PRUITT PA
Physician Assistant
317 N FM 1187
ALEDO, TX 76008
Parker County (817) 441-7181
MRS. KRISTINA TURK HALL NP
Nurse Practitioner (Family)
317 N FM 1187
ALEDO, TX 76008
Parker County (817) 441-7181

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaun Kretzschmar Do PA's NPI number?

The NPI number for Shaun Kretzschmar Do PA is 1912379322. It was assigned to this organization in the NPPES registry on October 25, 2015. The provider is doing business as Aledo Family Medicine.

Where is Shaun Kretzschmar Do PA located?

Shaun Kretzschmar Do PA is located at 317 N Fm 1187, Aledo, TX 76008. The listed phone number is (817) 441-7181.

What is Shaun Kretzschmar Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Shaun Kretzschmar Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0888958) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shaun Kretzschmar Do PA was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.