GREGORY D CRENSHAW (NPI# 1326238171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326238171 |
| Entity Type | Individual |
| Full Name | GREGORY D CRENSHAW |
| Credential | MD |
| Practice Address |
8888 Summa Ave Cardiology Tower, 3rd Fl Baton Rouge LA 70809-3720 |
| Practice Telephone | 2257694493 |
| Practice Fax Number | 2257663144 |
| Mailing Telephone | 2257694493 |
| Mailing Fax Number | 2257663144 |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2012-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MD200466 | LA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 200466 | LA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1090735 | 05 |
| Street Address |
8888 SUMMA AVE CARDIOLOGY TOWER, 3RD FL |
| City | BATON ROUGE |
| State | LA |
| Zip Code | 70809-3720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831207398 | Kristie L Firmin | Physician Assistant | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2006-08-26 |
| 1245880541 | Pennington Anesthesiology LLC | Nurse Anesthetist, Certified Registered | 8888 Summa Ave, Baton Rouge, LA 70809-3720 | 2019-09-18 |
| 1285297093 | Lauren Perry | Nurse Practitioner | 8888 Summa Ave, Baton Rouge, LA 70809-3720 | 2019-04-17 |
| 1932525094 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave, 3rd Floor, Baton Rouge, LA 70809-3720 | 2014-03-13 |
| 1023384393 | Vascular Specialty Center Lab | Physiological Laboratory | 8888 Summa Ave, Cardiology Tower 3rd Fl Ste B, Baton Rouge, LA 70809-3720 | 2012-03-30 |
| 1285907394 | Celeste Morales Waguespack | Nurse Practitioner | 8888 Summa Ave, Baton Rouge, LA 70809-0000 | 2012-02-21 |
| 1801112503 | Marvin V Weaver Iv | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2010-04-20 |
| 1043453335 | Victor Q Tran | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2009-04-15 |
| 1467642777 | Joseph Martin Griffin | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2007-08-01 |
| 1376752238 | Nakia A Newsome | Internal Medicine | 8888 Summa Ave, Baton Rouge, LA 70809-3720 | 2007-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619582640 | Lisha Kerr Jacobsen | Counselor | 7936 Wrenwood Drive, Bldg # A, Baton Rouge, LA 70809 | 2020-09-15 |
| 1790301596 | Louisiana Regenerative Medicine Center | Clinic/Center | 9456 Jefferson Hwy St A, Baton Rouge, LA 70809 | 2020-06-18 |
| 1093337305 | Sew Luxe Customs, LLC | Prosthetic/Orthotic Supplier | 8674 Quarters Lake Road, Building 11 Suit 1, Baton Rouge, LA 70809 | 2020-05-08 |
| 1366903908 | Tamika Wyna Piper | Counselor | 11445 Reiger Road, Baton Rouge, LA 70809 | 2019-03-27 |
| 1548734213 | Urg-hab Surgical Specialists | Pain Medicine | 8558 Jefferson Hwy, Baton Rouge, LA 70809 | 2019-01-16 |
| 1205306610 | Monique West | Case Manager/Care Coordinator | 9441 Common Street, Suite B, Baton Rouge, LA 70809 | 2018-11-28 |
| 1679061618 | Sara Elizabeth Nicole Altaean | Massage Therapist | Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-04-25 |
| 1871098921 | Gary Bernard Jr. | Massage Therapist | 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 | 2018-03-29 |
| 1619476355 | De'andria Banks | Behavior Technician | 9150 Bareford Drive, Baton Rouge, LA 70809 | 2018-02-08 |
| 1427561679 | Angiogenesis Medical LLC | Durable Medical Equipment & Medical Supplies | 8032 Summa Ave Ste D, Baton Rouge, LA 70809 | 2017-11-09 |
| Find all providers in zip 70809 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821330093 | Laurel Hadley Hastings | Surgery | 7777 Hennessy Blvd Ste 1008, Baton Rouge, LA 70808 | 2013-03-26 |
| 1730410408 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave Fl 3, Baton Rouge, LA 70809-3720 | 2010-01-20 |
| 1174624712 | Jon V. Schellack, M.d. (a Professional Medical Corporation) | Surgery | 5425 Brittany Dr # B, Baton Rouge, LA 70808-9144 | 2006-09-26 |
| 1003926981 | John Douglas Frusha | Surgery | 8595 Picandy Avenue, Suite 320, Baton Rouge, LA 70809-3675 | 2006-08-30 |
| 1518962653 | James E. Craven Iv | Surgery | 7777 Hennessy Blvd Ste 7000, Baton Rouge, LA 70808 | 2005-06-16 |
| 1003321829 | Vascular and Endovascular Specialists, LLC | Surgery | 5211 Essen Ln Ste 5, Baton Rouge, LA 70809-3564 | 2017-12-04 |
| 1932525094 | Vascular Specialty Center LLC | Surgery | 8888 Summa Ave, 3rd Floor, Baton Rouge, LA 70809-3720 | 2014-03-13 |
| 1801112503 | Marvin V Weaver Iv | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2010-04-20 |
| 1043453335 | Victor Q Tran | Surgery | 8888 Summa Ave, Cardiology Tower 3rd Floor, Baton Rouge, LA 70809-3720 | 2009-04-15 |
| 1093974099 | Taylor Scott Gwin | Surgery | 8585 Picardy Ave, Suite 310, Baton Rouge, LA 70809-3679 | 2008-06-04 |
| Find all providers in BATON ROUGE | ||||
| City | BATON ROUGE |
| Zip Code | 70809 |
Please comment or provide details below to improve the information on GREGORY D CRENSHAW.
| 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.