DR. MATTHEW TYLER CRIM (NPI# 1588993414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588993414 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW TYLER CRIM |
| Credential | MD, MSC, MA |
| Practice Address |
242 King Avenue Suite 210 Athens GA 30606 |
| Mailing Address |
2727 Paces Ferry Road Suite 1-1100 Atlanta GA 30339-6150 |
| Practice Telephone | 7064751700 |
| Mailing Telephone | 4702713421 |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
077718 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 101 Woodruff Circle Wmb 319, Atlanta, GA 303220001 | 4047274724 | 4047128335 |
| 1199 Prince Ave, Athens, GA 306062797 | (706) 475-1700 |
| Street Address |
242 KING AVENUE SUITE 210 |
| City | ATHENS |
| State | GA |
| Zip Code | 30606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992721500 | Riikka P Mohorn | Surgery | 242 King Avenue, Suite 220, Athens, GA 30606 | 2006-07-15 |
| 1134754450 | Cody Davis | Physician Assistant | 242 King Avenue, Suite 130, Athens, GA 30606 | 2020-03-06 |
| 1770138489 | Ashley Alkire | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-08-08 |
| 1407199474 | Jessica Latrice Mccaskill | Physician Assistant | 242 King Avenue, Suite 130, Athens, GA 30606 | 2013-03-28 |
| 1154663599 | Michael John Gelsomino | Neurological Surgery | 242 King Avenue, Suite 130, Athens, GA 30606 | 2013-03-25 |
| 1568646362 | Jason M Pfluke | Surgery | 242 King Avenue, Suite 220, Athens, GA 30606 | 2007-12-28 |
| 1598788655 | Kimberly P Walpert | Neurological Surgery | 242 King Avenue, Msb Second Floor, Athens, GA 30606-1685 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816962 | Kofi Darkwa Seffah | Student in an Organized Health Care Education/Training Program | 1199 Prince Ave #70, 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-09-16 |
| 1831712363 | Rebecca John | Licensed Practical Nurse | 240 Mitchel Bridge Road, Athens, GA 30606 | 2020-05-19 |
| 1497375612 | Alfred Ka-shing Wong | Student in an Organized Health Care Education/Training Program | 1270 Prince Ave Suite 201, Athens, GA 30606 | 2020-04-17 |
| 1881223956 | Lauren Fesperman | Nurse Practitioner | 242 King Ave Ste 130, Athens, GA 30606 | 2020-04-02 |
| 1255966081 | Westminster Presbyterian Homes, Inc. | Skilled Nursing Facility | 1400 Live Oak Ln, Building 100, Athens, GA 30606 | 2020-03-12 |
| 1255981700 | Carol Cameron Cready-pyle | Social Worker | 1551 Jennings Mill Pkwy Ste 1700, Athens, GA 30606 | 2019-09-17 |
| 1013576016 | Lauren Gruendling | Nurse Practitioner | 242 King Avenue, Suite 210, Athens, GA 30606 | 2019-06-12 |
| 1760045223 | Dominic Ofosu Amakye | Student in an Organized Health Care Education/Training Program | 1270 Prince Avenue Suite 201, Athens, GA 30606 | 2019-04-19 |
| 1740740422 | Juan G Salazar Castillo | Student in an Organized Health Care Education/Training Program | Community Internal Medicine of Athens, 1500 Oglethorpe Ave Suite 200d, Athens, GA 30606 | 2019-03-20 |
| 1750869020 | Jennifer Emily Chapman | Physical Therapist | 1021 Parkway Blvd Ste 101, Athens, GA 30606 | 2018-07-30 |
| Find all providers in zip 30606 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336446608 | St. Mary's Medical Group, Inc. | Internal Medicine | 700 Sunset Dr Ste 302, Athens, GA 30606-7721 | 2011-02-22 |
| 1134286636 | Arthur Eugene Mays Jr. | Internal Medicine | Nuclear Plant Rd, Nuclear Training Bldng, Athens, AL 35611 | 2007-01-03 |
| 1568476166 | Moe H Bishara | Internal Medicine | 1351 Lake Welbrook Dr, Athens, GA 30606-7631 | 2006-07-28 |
| 1720054349 | Charles B Neckman | Internal Medicine | 2470 Daniels Brigde Road, Bldg 200 Suite 251, Athens, GA 30606 | 2006-02-23 |
| 1437131273 | Saima Zafar | Internal Medicine | 115 Medical Cir Ste 102, Athens, TX 75751-9004 | 2005-11-17 |
| 1811987670 | Michael C Tobes | Internal Medicine | 1212 S Palestine St, Athens, TX 75751-3619 | 2005-10-24 |
| 1366443640 | Subodh K Agrawal | Internal Medicine | 2005 Prince Ave, Athens, GA 30606-6032 | 2005-08-09 |
| 1942208970 | Harvey G Ouzts | Internal Medicine | 2470 Daniels Bridge Rd, Bldg 200, Ste 251, Athens, GA 30606-6187 | 2005-07-13 |
| 1164926739 | Athens Heart Center, PC | Internal Medicine | 1999 Prince Ave, Athens, GA 30606-6013 | 2018-03-20 |
| 1508378613 | Medical Office Force, LLC | Internal Medicine | 2005 Prince Avenue, Athens, GA 30606 | 2017-10-30 |
| Find all providers in ATHENS | ||||
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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.