MRS. CRYSTAL MUMFORD


Address: 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638
Phone: 2693886350

MRS. CRYSTAL MUMFORD (NPI# 1619133907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619133907
Entity Type Individual
Full Name MRS. CRYSTAL MUMFORD
Credential PA
Practice Address 1535 Gull Rd Ste 200
Kalamazoo
MI 49048-1638
Practice Telephone 2693886350
Practice Fax Number 2693884738
Mailing Telephone 2693886350
Mailing Fax Number 2693884738
Enumeration Date 2008-08-06
Last Update Date 2020-09-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant MI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
125 S Kalamazoo Mall, Suite 204, Kalamazoo, MI 490074832 2693433900 2693435640

Office Location

Street Address 1535 GULL RD STE 200
City KALAMAZOO
State MI
Zip Code 49048-1638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134119886 John Hopkins Radiology 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 2005-10-25
1982125746 Kali Barrow Nurse Practitioner 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 2017-07-03
1184983769 David Schaumburg Mosbach Radiology 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 2012-05-16
1649403551 Jeffrey Lee Daniels Physician Assistant 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 2009-08-25
1578791141 Yulia Valerievna Volokhina Radiology 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 2009-06-23
1801031547 Matthew Cummings Radiology 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 2008-12-09
1114181815 Scott Thomas Lange Radiologic Technologist 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 2008-07-11
1245410240 Laurene C. Mann Radiology 1535 Gull Rd Ste 200, Kalamazoo, MI 49048-1638 2007-11-07
1801087374 Brandon Sabah Tominna Radiology 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 2007-08-08
1750503181 Kenneth D Kreitel Radiology 1535 Gull Rd Ste 200, Kalamazoo, MI 49048 2007-05-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1790214146 Sally Leigh Weigandt Technician, Other 5438 Lucerne Ave, Kalamazoo, MI 49048 2017-06-08
1437606670 Amanda Ezekiel Advanced Practice Midwife 1523 Gull Rd Ste 250, Kalamazoo, MI 49048 2016-09-06
1700238987 Brittany Bittenbender Technician, Other 5840 E Cork St, Kalamazoo, MI 49048 2016-07-12
1255747176 Araena Payton Early Intervention Provider Agency 1313 Hotop Ave, Kalamazoo, MI 49048 2014-07-11
1508297151 Hope Network Eastwood House Residential Treatment Facility, Physical Disabilities 2236 Brook Drive, Kalamazoo, MI 49048 2013-12-09
1457780314 Hope Network Rehabilitation Servicesq Residential Treatment Facility, Physical Disabilities 2236 Brooke Drive, Kalamazoo, MI 49048 2013-11-01
1467889576 Aaron Van Heest Social Worker 813 Chrysler St., Kalamazoo, MI 49048 2013-10-03
1760737308 Salem A. Salem Internal Medicine Ascension Borgess Hospital, 1521 Gull Rd, Kalamazoo, MI 49048 2012-07-19
1356523229 Borgess Medical Center Psychiatry & Neurology 1521 Gull Road, Kalamazoo, MI 49048 2007-12-03
1629290135 Robert Claude Gano Dentist 5462 Gull Rd Suite 7, Kalamazoo, MI 49048 2007-05-03
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1013516194 Rebecca Mary Cronin Physician Assistant 4311 Kingsbrook Dr, Kalamazoo, MI 49006-3909 2020-10-20
1619574654 Conor Mccabe Physician Assistant 2413 Logan Ave, Kalamazoo, MI 49008-3949 2020-10-02
1134766942 Scott E Boyd Physician Assistant 8071 N 6th St, Kalamazoo, MI 49009-8808 2019-12-01
1720566847 Lydia Chardel Bruenjes Physician Assistant 6565 W Main St #100, Kalamazoo, MI 49009-9199 2018-07-31
1396263943 Travis Todd Turrell Physician Assistant 125 S Kalamazoo Mall Suite 204, Kalamazoo, MI 49007 2017-09-05
1467901892 Brian Christopher Rensch Physician Assistant 916 Austin St, Kalamazoo, MI 49008-1105 2016-09-27
1427415462 Katelyn Vasicek Physician Assistant 601 John St Ste M-302, Kalamazoo, MI 49007 2016-01-21
1598168874 Melissa Shields Physician Assistant Western Michigan University, 1903 Western Michigan Avenue, Kalamazoo, MI 49008 2014-10-01
1700291549 Lauren Gilbertson Physician Assistant 1722 Shaffer St Ste 3, Kalamazoo, MI 49048-1633 2014-06-30
1447445002 Jennifer Hurtt Physician Assistant 1541 Gull Rd Ste 200, Kalamazoo, MI 49048-1644 2007-09-07
Find all providers in KALAMAZOO

Competitor

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City KALAMAZOO
Zip Code 49048

Improve Information

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Dataset Information

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.

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