MARY CHUMBLEY CROW (NPI# 1114244613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114244613 |
| Entity Type | Individual |
| Full Name | MARY CHUMBLEY CROW |
| Credential | M.D. |
| Practice Address |
1811 East Bert Kouns Suite 400 Shreveport LA 71115-5741 |
| Mailing Address |
1811 E Bert Kouns Industrial Loop Suite 400 Shreveport LA 71105-5740 |
| Practice Telephone | 3182123810 |
| Practice Fax Number | 3182123815 |
| Mailing Telephone | 3182123810 |
| Mailing Fax Number | 3182123815 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.204709 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 2106368 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851407159 | Mary Lynn Crow | Psychologist | University of Texas At Arlington, Box 19227, Arlington, TX 76019-0001 | 2006-08-21 |
| 1164425211 | Mary K Crow | Internal Medicine | 22710 Professional Dr, Kingwood, TX 77339-6008 | 2005-05-23 |
| 1215576905 | Mary Ann Crow | Nurse Practitioner | 104 Quail Trl, Edgewood, NM 87015-7185 | 2019-12-30 |
| 1457832669 | Mary Ann Crow | Nurse Practitioner | 20 Hazelwood Dr, Pell City, AL 35125-3382 | 2018-08-25 |
| 1346676376 | Mary Kendall Crow | Occupational Therapist | 8109 Interstate 30, Little Rock, AR 72209-4840 | 2013-09-23 |
| 1952653362 | Mary Bailey Crow | Dentist | 2016 Main Ave Sw, Cullman, AL 35055-5239 | 2012-10-09 |
| 1538280961 | Mary K Crow | Internal Medicine | 535 E 70th St, New York, NY 10021-4872 | 2007-04-03 |
| Street Address |
1811 EAST BERT KOUNS SUITE 400 |
| City | SHREVEPORT |
| State | LA |
| Zip Code | 71115-5741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912936196 | Kenneth W. Sanders, Md and Willis-knighton Medical Center | Surgery | 1811 East Bert Kouns, Suite 160, Shreveport, LA 71105-5505 | 2006-07-01 |
| 1871918342 | Kenneth W. Sanders, Md LLC | Otolaryngology | 1811 East Bert Kouns, Suite 160, Shreveport, LA 71105 | 2014-02-20 |
| 1346459195 | Abbey M. Carroll | Pediatrics | 1811 East Bert Kouns, Suite 140, Shreveport, LA 71105 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829217 | Bno Surgical Consultants, LLC | Physician Assistant | 303 Captain Hm Shreve Blvd, Shreveport, LA 71115 | 2020-01-02 |
| 1902310899 | Islam LLC | General Acute Care Hospital | 9815 Paragon Ln, Shreveport, LA 71115 | 2017-11-30 |
| 1508304569 | Marcel White | Case Manager/Care Coordinator | 9050 Youree Dr, Apt 105, Shreveport, LA 71115 | 2017-02-09 |
| 1114392784 | Marilyn Sparks | Counselor | 9999 Smitherman Dr Apt 502, Shreveport, LA 71115 | 2015-12-08 |
| 1699031237 | Cody Tingle | Internal Medicine | 8001 Youree Dr Ste 400, Shreveport, LA 71115 | 2012-04-09 |
| 1629366885 | Pankaj Sharma | Psychiatry & Neurology | Department of Neurology, Lsuhsc Shreveport, 1501 Kings Highway, Shreveport, LA 71115 | 2011-07-21 |
| 1396914750 | Lisa L Jawahar | Radiologic Technologist | 429 Creek Holw, Shreveport, LOUISIANA 71115 | 2008-02-29 |
| 1720291412 | Larry Kenneth Robinson Jr. | Dentist | 8856 Youree Dr, Suite C, Shreveport, LA 71115 | 2007-05-08 |
| 1952471609 | Shining Star Professional Services Inc | Social Worker | 9050 Youree Drive, #1004, Shreveport, LA 71115 | 2006-11-09 |
| 1922178854 | Akee Lj Jackson | Social Worker | 9050 Youree Dr. #1004, Shreveport, LA 71115 | 2006-11-08 |
| Find all providers in zip 71115 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922621390 | Partners In Primary Care La PC | Family Medicine | 7551 Youree Dr Ste 11, Shreveport, LA 71105-5533 | 2020-05-20 |
| 1528609104 | Spectra Family Clinic, LLC | Family Medicine | 9300 Mansfield Rd Ste 209, Shreveport, LA 71118-3138 | 2019-10-04 |
| 1922502327 | Courtney Morgan | Family Medicine | 723 Milam St, Shreveport, LA 71101-3507 | 2018-03-20 |
| 1174973317 | Patrick Michael Fitz-gerald | Family Medicine | 731 Coachlight Rd, Shreveport, LA 71106-7205 | 2016-06-19 |
| 1437446341 | Samreena N Sara | Family Medicine | 8835 Line Ave Ste 400a, Shreveport, LA 71106-6722 | 2011-06-30 |
| 1932490554 | Michael Thomas Kitchell | Family Medicine | 1666 E Bert Koun Loop Ste 105, Shreveport, LA 71105-5718 | 2011-04-30 |
| 1831402254 | David J. Colvin Md LLC | Family Medicine | 148 Waters Edge Dr, Shreveport, LA 71106-7774 | 2010-07-15 |
| 1952628802 | Tri Pham | Family Medicine | 133 Charles Ave, Shreveport, LA 71105-3719 | 2010-04-30 |
| 1669799524 | Stephanie James | Family Medicine | 2120 Bert Kouns Industrial Loop Ste M, Shreveport, LA 71118-3355 | 2010-04-30 |
| 1205062965 | Charles Henry Nash | Family Medicine | 5935 Gilbert Dr, Shreveport, LA 71106-2315 | 2009-06-08 |
| Find all providers in SHREVEPORT | ||||
| City | SHREVEPORT |
| Zip Code | 71115 |
Please comment or provide details below to improve the information on MARY CHUMBLEY CROW.
| 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.