DR. JOSEPH MARK CRUM (NPI# 1386712263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386712263 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH MARK CRUM |
| Credential | DC, CCRD, CCSP |
| Practice Address |
111 Commonwealth Ave Suite 120 Bristol VA 24201-3831 |
| Practice Telephone | 2766690969 |
| Mailing Telephone | 2766690969 |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
0104001471 | VA | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AETNA | 5697482 | 01 |
| VA | BCBS OF VA | 241832 | 01 |
| TN | BCBS OF TN | 3040218 | 01 |
| VA | MAMSI | 2116065 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184622102 | Joseph Murphy Crum Sr. | Chiropractor | 945 Boardman Canfield Rd, Suite 11, Boardman, OH 44512-4237 | 2005-07-13 |
| 1033774013 | Joseph Murphy Crum Jr. | Student in an Organized Health Care Education/Training Program | 5100 W Broad St, Columbus, OH 43228-1607 | 2019-05-06 |
| 1013969021 | Joseph D. Crum | Emergency Medicine | 100 Jackson Pike, Gallipolis, OH 45631-1560 | 2006-05-17 |
| Street Address |
111 COMMONWEALTH AVE SUITE 120 |
| City | BRISTOL |
| State | VA |
| Zip Code | 24201-3831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629396437 | Divine Home Care Inc. | Home Health | 111 Commonwealth Ave, Suite 100, Bristol, VA 24201-3831 | 2010-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234716 | Vanessa Ruiz Sutherland | Speech-Language Pathologist | Stonewall Jackson Elementary School, 2045 Euclid Ave, Bristol, VA 24201 | 2019-03-18 |
| 1003394693 | Cplace Bristol Snf, LLC | Clinic/Center | 109 Village Circle, Bristol, VA 24201 | 2018-08-06 |
| 1871001420 | Karen Lavonne Ford | Case Manager/Care Coordinator | 727 Portsmouth Avenue, Bristol, VA 24201 | 2018-01-17 |
| 1558872176 | City of Bristol Va | Ambulance | 211 Lee St, Bristol, VA 24201 | 2017-10-23 |
| 1639396989 | Barry Robert Matheson | Dentist | 817 Gate City Highway, Bristol, VA 24201 | 2007-04-19 |
| 1942338082 | Joann Wolfe Vaughn | Nurse Practitioner | 103 North Street, Ridgeview Pavilion, Bristol, VA 24201 | 2007-03-01 |
| 1003982968 | American Medical Devices, Inc. | Durable Medical Equipment & Medical Supplies | 1788 Island Rd, Bristol, VA 24201 | 2006-11-24 |
| 1134224827 | Theresa D Morris | Licensed Practical Nurse | 510 Cumberland St, Executive Plaza 4th Floor, Bristol, VA 24201 | 2006-09-14 |
| 1083718605 | Tomhave Olson Dental Associates | Dentist | 510 Cumberland St., Executive Plaza, 4th Floor, Bristol, VA 24201 | 2006-09-12 |
| 1972606408 | Terry H Gillenwater | Chiropractor | 2110 Euclid Ave, Bristol, VA 24201 | 2006-09-07 |
| Find all providers in zip 24201 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154367415 | Mitchell Barry Rose | Chiropractor | 281 N Main St, Bristol, CT 06010-4971 | 2006-06-22 |
| 1558508655 | Allen Chiropractic Care Inc. | Chiropractor | 1932 Lee Hwy, Bristol, VA 24201-1624 | 2009-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281527 | Cpcj Inc | Chiropractor | 4628 Portsmouth Blvd Ste 100, Chesapeake, VA 23321-2106 | 2019-02-11 |
| 1528483229 | Dynamic Rehab and Spine, LLC | Chiropractor | 2380 Plank Rd, A, Fredericksuburg, VA 22401 | 2014-03-04 |
| 1043527989 | Virginia Health Solutions, Inc. | Chiropractor | 815 Middle Ground Blvd, Inside Onelife Fitness, Newport News, VA 23606-4209 | 2010-09-13 |
| 1609182088 | Manassas Spine & Sport PC | Chiropractor | 9210 Lee Ave, Manassas, VA 20110-5513 | 2010-08-24 |
| 1427383835 | Thomas Edward Nonnenmacher | Chiropractor | 9986 Spotswood Trl, Mcgaheysville, VA 22840-2421 | 2009-10-03 |
| 1669629085 | Back In Action Chiropractic Center, P.C. | Chiropractor | 4911 Augusta Ave, Richmond, VA 23230-3601 | 2008-08-27 |
| 1962626838 | Douglas Owen Nagel | Chiropractor | 46960 Cedar Lake Plz, Suite 150, Sterling, VA 20164-8657 | 2007-04-12 |
| 1285787150 | Hirad Najafbagy | Chiropractor | 905 Herndon Pkwy, Suite B, Herndon, VA 20170-5536 | 2007-01-22 |
| 1730231101 | Leanne Fink | Chiropractor | 15b Loudoun St Sw, Leesburg, VA 20175-2908 | 2007-01-17 |
| 1407911316 | Stephen M Erle | Chiropractor | 2380a Plank Rd, Ste A, Fredericksburg, VA 22401-4927 | 2006-12-22 |
| Find all providers with the same taxonomy | ||||
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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.