CRYSTAL HAMILTON MCMAHAN (NPI# 1396969200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396969200 |
| Entity Type | Individual |
| Full Name | CRYSTAL HAMILTON MCMAHAN |
| Credential | M.D. |
| Practice Address |
4003 Kresge Way Ste 115 Louisville KY 40207-4652 |
| Mailing Address |
Po Box 950248 Louisville KY 40295-0248 |
| Practice Telephone | 5028978163 |
| Practice Fax Number | 5028978052 |
| Mailing Telephone | 5024895730 |
| Mailing Fax Number | 5024895753 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2015-01-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
42203 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | ANTHEM | 000000651185 | 01 |
| KY | PASSPORT | 50027952 | 01 |
| KY | 7100059430 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285090647 | Crystal Mcmahan | Nurse Practitioner | 2526 Highway 65 S, Suite 203, Clinton, AR 72031-6657 | 2016-01-14 |
| 1689943698 | Crystal N Mcmahan | Counselor | 325 E Pioneer Ave, Puyallup, WA 98372-3265 | 2011-12-20 |
| Street Address |
4003 KRESGE WAY STE 115 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40207-4652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063415099 | Adrian J Pellegrini | Psychiatry & Neurology | 4003 Kresge Way, Ste 224, Louisville, KY 40207-4652 | 2005-05-23 |
| 1821534546 | Crystal Labbato | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2017-01-19 |
| 1255889721 | Alana Darnall | Nurse Practitioner | 4003 Kresge Way, Suite 228, Louisville, KY 40207-4652 | 2016-09-14 |
| 1376940569 | Stephanie Anne Wilson | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2014-12-03 |
| 1184026205 | Wendi Suzanne Haller | Nurse Practitioner | 4003 Kresge Way, Suite 312, Louisville, KY 40207-4652 | 2014-09-19 |
| 1336572601 | Baptist Health Medical Group Inc | Nurse Practitioner | 4003 Kresge Way, Suite 410, Louisville, KY 40207-4652 | 2013-08-09 |
| 1235430166 | Gigi Michelle Manuel | Nurse Practitioner | 4003 Kresge Way, Suite 100, Louisville, KY 40207-4652 | 2010-11-09 |
| 1669773511 | Whitney Dawn Perry | Nurse Practitioner | 4003 Kresge Way, Ste 500, Louisville, KY 40207-4652 | 2010-11-09 |
| 1215240627 | Shana Cassady | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2010-07-15 |
| 1487984514 | Baptist Health Medical Group Inc | Nurse Practitioner | 4003 Kresge Way, Suite 500, Louisville, KY 40207-4652 | 2010-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212688 | Alexia Louise Bodamer | Student in an Organized Health Care Education/Training Program | 142 Chenoweth Lane, Lousiville, KY 40207 | 2020-03-28 |
| 1467918664 | Amy Rock LLC | Counselor | 4010 Dupont Cir Ste 307, Louisville, KY 40207 | 2019-02-13 |
| 1649745191 | Louisville Optometric Center, IIi, Psc | Optometrist | 285 Hubbards Lane, Suite 300, Louisville, KY 40207 | 2018-10-11 |
| 1184137440 | Crimson Dove Counseling Services Inc | Community/Behavioral Health | 214 Breckenridge Ln., Suite 203, Louisville, KY 40207 | 2017-11-09 |
| 1285157586 | Dickerson Family Enterprise, LLC | Non-emergency Medical Transport (VAN) | 4350 Brownsboro Rd., Ste. 110, Louisville, KY 40207 | 2017-07-19 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1932636305 | Devon Turley | Prevention Professional | 1017 Dupont Rd, Suite 1, Louisville, KY 40207 | 2017-05-17 |
| 1285095539 | Emily Schwartz Crouch | Marriage & Family Therapist | 4010 Dupont Circle, Suite 582, Louisville, KY 40207 | 2016-03-15 |
| 1306201280 | A A and Associates Approved Alcohol/drug Program | Counselor | 4006 Dutchmans Lane, Louisville, KY 40207 | 2015-12-21 |
| 1629433693 | Jewish Hospital and St. Mary's Healthcare, Inc. | General Acute Care Hospital | 3290 Dutchmans Lane, Louisville, KY 40207 | 2015-12-17 |
| Find all providers in zip 40207 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211341 | Alden Klarer | Radiology | 529 South Jackson, Internal Medicine, Acb 3rd Floor, Louisville, KY 40202-1622 | 2015-04-04 |
| 1699844910 | Birkhead, Eckman & Scharf, P.s.c. | Radiology | 4003 Kresge Way Ste 115, Louisville, KY 40207-4652 | 2006-11-08 |
| 1629175393 | Shiao Y Woo | Radiology | 529 S, Jackson Street, Radiation Oncology, Brown Cancer Center, Louisville, KY 40202 | 2006-09-17 |
| 1770698169 | Craig Lyle Silverman | Radiology | 529 South Jackson Street, Louisville, KY 40202 | 2006-08-19 |
| 1659389039 | Donnie R. Stacy | Radiology | 3920 S Dupont Sq, Louisville, KY 40207-4615 | 2006-08-03 |
| 1851386767 | Mark R. Jones | Radiology | 4500 Churchman Ave, Suite 100, Louisville, KY 40215-1143 | 2005-09-16 |
| 1063843415 | University of Louisville Research Foundation | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2013-12-11 |
| 1487097390 | Scott Richard Silva | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2013-04-10 |
| 1679816920 | Dan Ishihara | Radiology | 315 E Broadway Fl 4, Louisville, KY 40202 | 2013-04-04 |
| 1629395223 | Harriet Belding Eldredge-hindy | Radiology | 529 S Jackson St, Louisville, KY 40202-3229 | 2010-04-23 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40207 |
Please comment or provide details below to improve the information on CRYSTAL HAMILTON MCMAHAN.
| 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.