DR. FREDERICK C CRUM (NPI# 1427081355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427081355 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK C CRUM |
| Credential | MD |
| Practice Address |
3235 Academy Ave Suite 102 Portsmouth VA 23703-3200 |
| Practice Telephone | 7574847386 |
| Practice Fax Number | 7574841913 |
| Mailing Telephone | 7574847386 |
| Mailing Fax Number | 7574841913 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101038607 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005634245 | 05 | |
| VA | ANTHEM | 073257 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811076730 | Frederick Lee Crum | Physical Therapist | 19141 Bloomfield Ave, Cerritos, CA 90703-7104 | 2006-11-02 |
| Street Address |
3235 ACADEMY AVE SUITE 102 |
| City | PORTSMOUTH |
| State | VA |
| Zip Code | 23703-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238096 | Mark A Pavilack | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 | 2005-07-13 |
| 1346470572 | Nancy D Myers | Physician Assistant | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 | 2009-07-22 |
| 1245469964 | Tidewater Eye Centers | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 | 2009-07-02 |
| 1871732784 | Churchland Family Medicine PC | Family Medicine | 3235 Academy Ave, Suite 102, Portsmouth, VA 23703-3200 | 2009-02-17 |
| 1235393059 | Krunal Manubhai Patel | Internal Medicine | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 | 2008-07-10 |
| 1265691141 | Kori A Elkins | Ophthalmology | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703 | 2008-06-05 |
| 1942488564 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 3235 Academy Ave, Suite 304, Portsmouth, VA 23703-3200 | 2008-02-06 |
| 1578750584 | Karen Diane Kahan | Nurse Practitioner | 3235 Academy Ave, Suite 305, Portsmouth, VA 23703-3200 | 2007-10-03 |
| 1548466238 | Digitrace Care Services Inc | Durable Medical Equipment & Medical Supplies | 3235 Academy Ave, Suite 304, Portsmouth, VA 23703-3200 | 2007-06-21 |
| 1083731525 | Jeffrey Stephen Wolf | Colon & Rectal Surgery | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174037444 | Kelly Foster | Massage Therapist | 3108 Tyre Neck Rd Ste D, Portsmouth, VA 23703 | 2017-11-25 |
| 1578072104 | Katherine Armstrong Wise | Behavior Technician | 3120 Verne Ave, Portsmouth, VA 23703 | 2017-09-27 |
| 1891223913 | Ashley Rebecca Anderson | Dentist | 5915 High Street W, Portsmouth, VA 23703 | 2017-06-02 |
| 1881126019 | Anas Elmahdi | Specialist | 5205 Sweetbriar C., 5205 Sweetbriar C., Portsmouth, VA 23703 | 2017-03-28 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1376948349 | Charles Douglas Knight | Military Health Care Provider | Uss Maryland Ssbn 738, Fpo, AA 23703 | 2014-11-03 |
| 1689929382 | Positive Connections, Inc | Community/Behavioral Health | 3823d Meherrin River Reach, Portsmouth, VA 23703 | 2012-07-18 |
| 1225319874 | Sanaz Namin | Pharmacist | 5601 High Street, Porstmouth, VA 23703 | 2011-09-08 |
| 1295029767 | Maggie Jackson | Dental Hygienist | 4000 Coast Guard Blvd., Portsmouth, VA 23703 | 2011-06-02 |
| 1679804892 | Amy Kathleenn Gaspar | Specialist/Technologist, Other | 4113 Pendleton Rd, Portsmouth, VA 23703 | 2010-01-28 |
| Find all providers in zip 23703 | ||||
| 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 |
|---|---|---|---|---|
| 1366968539 | Continental Medical Services Pllc | Family Medicine | 2011 Queen St Ste L100, Portsmouth, VA 23704-3027 | 2017-08-18 |
| 1841686722 | Maryview Hospital | Family Medicine | 3300 High St Ste 6, Portsmouth, VA 23707-3321 | 2015-04-08 |
| 1144640202 | Marjorie Eden Beams | Family Medicine | 100 Campus Dr Ste 100, Portsmouth, NH 03801-5892 | 2014-04-16 |
| 1326477506 | Maryview Hospital | Family Medicine | 3537 Airline Blvd Ste 1, Portsmouth, VA 23701-2650 | 2013-11-07 |
| 1891134490 | Anupriya Grover | Family Medicine | Appledodre Family Medicine, 25 New Hampshire Avenue, Portsmouth, NH 03801-0380 | 2013-06-18 |
| 1528296902 | Ruth Ellen James | Family Medicine | 111 New Hampshire Ave Ste 2, Portsmouth, NH 03801 | 2009-06-24 |
| 1396915658 | David A. Johnson Do, Inc | Family Medicine | 161 Chase Rd, Portsmouth, RI 02871-3243 | 2008-03-03 |
| 1811190655 | Gregory C. Jones, Psc | Family Medicine | 1745 27th Street, Wound Healing Center, Portsmouth, OH 45662 | 2007-06-08 |
| 1407868797 | Melinda Faye Somoza | Family Medicine | 840 Gallia St, Portsmouth, OH 45662-4232 | 2006-08-13 |
| 1437160546 | Regina Denise Davis | Family Medicine | 3960 Turnpike Road, Jencare Neighborhood Medical Center Victory, LLC, Portsmouth, VA 23701 | 2006-08-11 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 23703 |
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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.