Individual
SCOTT PATRICK KROBOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
222 N 192ND ST, ELKHORN, NE 68022-5363
(402) 390-4111
(402) 390-4115
Mailing address
8005 FARNAM DR STE 305, OMAHA, NE 68114-3426
(402) 390-4111
(402) 390-4115
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
1240
NE
363AS0400X
Surgical Physician Assistant
Primary
1240
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144277328
—
IA
05
—
1144277328
—
NE
01
—
38518
BCBS
NE
01
—
P00341614
RAILROAD MEDICARE
—
Enumeration date
07/19/2006
Last updated
10/30/2025
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