KELLY CRUM (NPI# 1104368521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104368521 |
| Entity Type | Individual |
| Full Name | KELLY CRUM |
| Credential | PA-C |
| Practice Address |
5 Bel Air South Pkwy Suite 1535 Bel Air MD 21015-6091 |
| Practice Telephone | 4105692441 |
| Mailing Telephone | 4105692441 |
| Enumeration Date | 2016-11-16 |
| Last Update Date | 2016-11-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | C0006272 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5 BEL AIR SOUTH PKWY SUITE 1535 |
| City | BEL AIR |
| State | MD |
| Zip Code | 21015-6091 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689641987 | John Joseph Hayes | Optometrist | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2006-03-06 |
| 1649745365 | Yvonne Alupo Tukei | Physician Assistant | 5 Bel Air South Pkwy, Bel Air, MD 21015 | 2018-10-09 |
| 1366927675 | Sau Win | Physician Assistant | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2018-10-02 |
| 1164924411 | Beatrice Omidiora | Nurse Practitioner | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2018-03-02 |
| 1659811388 | Kimberly Mcarthur | Physician Assistant | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2017-02-28 |
| 1679015333 | Dalia Akkad Abaza | Physician Assistant | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2016-11-12 |
| 1295286979 | Mnr Industries, LLC | Clinic/Center | 5 Bel Air South Pkwy, Suite 1535, Bel Air, MD 21015-6091 | 2016-10-18 |
| 1104371533 | Molly B. Day | Audiologist | 5 Bel Air South Pkwy, Suite N1411, Bel Air, MD 21015-6091 | 2016-08-15 |
| 1760835789 | Guido Guarnaccia Jr. | Pharmacist | 5 Bel Air South Pkwy, Bel Air, MD 21015-6091 | 2016-07-14 |
| 1497101836 | Drayer Physical Therapy of Maryland LLC | Physical Therapist | 5 Bel Air South Pkwy, Suite 503b, Bel Air, MD 21015-6091 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525235 | Graceful Speech-language Therapy | Speech-Language Pathologist | 610 Mauser Dr, Bel Air, MD 21015 | 2020-10-12 |
| 1770124844 | Asana Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 815 Sapling Ct, Bel Air, MD 21015 | 2019-09-30 |
| 1427601103 | Newpoints | Substance Abuse Rehabilitation Facility | 242 Ogden Court, Bel Air, MD 21015 | 2019-07-22 |
| 1184186199 | Notable Life Counseling Services LLC | Counselor | 2107-2109 Laurel Bush Road, Ste 103b, Bel Air, MD 21015 | 2019-04-01 |
| 1295293553 | Gary Reznik D.d.s., P.a. | Dentist | 1816 Emmorton Rd, Bel Air, MD 21015 | 2019-03-06 |
| 1942770524 | Erin Tromblay | Speech-Language Pathologist | 85 Patterson Mill Road, Bel Air, MD 21015 | 2018-11-27 |
| 1740638857 | Holly A Smith | Nurse Practitioner | 5 Bel Air Parkway, Suite 1535, Bel Air, MD 21015 | 2016-05-31 |
| 1891155420 | National Rehabilitation Hospital, Inc | Clinic/Center | 12 Medstar Boulevard, Suite 325, Bel Air, MD 21015 | 2016-02-24 |
| 1780002956 | Louis Rosson Robinett IIi | Internal Medicine | 2227 Old Emmorton Rd Ste 120, Bel Air, MD 21015 | 2014-04-03 |
| 1609207083 | Vicki Lynn Goldberg | Physical Therapist | 2304 Churchville Road, Bel Air, MD 21015 | 2013-12-10 |
| Find all providers in zip 21015 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447768 | Elizabeth Kolbe Schneider | Physician Assistant | 2205 Deadora Dr, Bel Air, MD 21015-8521 | 2020-11-03 |
| 1669931994 | Alexa Renee Diedrich | Physician Assistant | 1030 Rock Spring Rd, Bel Air, MD 21014-2322 | 2019-03-16 |
| 1558728295 | Chelsea N Keeler | Physician Assistant | 227 Gateway Dr Ste J, Bel Air, MD 21014-4287 | 2016-01-26 |
| 1972937472 | Melissa Ann Miller | Physician Assistant | 1505 E. Churchville Road., Bel Air, MD 21015 | 2013-09-03 |
| 1679857239 | Benjamin Williams Diffenderfer | Physician Assistant | 510 Upper Chesapeake Dr., Suite 417, Physicians Pavillion II, Bel Air, MD 21014 | 2011-09-30 |
| 1922251412 | Megan Charlotte Donovan | Physician Assistant | 2012 Tollgate Road, Suite 102, Bel Air, MD 21015 | 2008-10-28 |
| 1841285418 | Roy William Rothenberg | Physician Assistant | 104 Plumtree Rd, Suite 102, Bel Air, MD 21015-6095 | 2005-09-20 |
| 1578109591 | Kelsey Mcgillivray | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-11-25 |
| 1255982039 | Jacob Mathew | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-09-24 |
| 1588221089 | Margaret Mcclary | Physician Assistant | 5 Bel Air South Pkwy Ste 1535, Bel Air, MD 21015-3816 | 2019-05-21 |
| Find all providers in BEL AIR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.