DR. VINCENT G CRUMP (NPI# 1629044870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629044870 |
| Entity Type | Individual |
| Full Name | DR. VINCENT G CRUMP |
| Credential | DPM |
| Practice Address |
1735 Brandon Trace Ave Brandon FL 33510-2027 |
| Practice Telephone | 8134160207 |
| Practice Fax Number | 8138819118 |
| Mailing Telephone | 8134160207 |
| Mailing Fax Number | 8138819118 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2009-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | PO2083 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 340200200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265992846 | Vincent Crump | Registered Nurse | 5555 Grossmont Center Dr, La Mesa, CA 91942-3019 | 2019-03-21 |
| Street Address |
1735 BRANDON TRACE AVE |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841378981 | V C Podiatry Pa | Podiatrist | 1735 Brandon Trace Ave, Brandon, FL 33510-2027 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184009086 | River Health Care, LLC | Podiatrist | 426 Abbey Woods, Brandon, MS 39047-7719 | 2015-07-21 |
| 1366600959 | Mark G Leitner Dpm | Podiatrist | 132 S Moon Ave, Brandon, FL 33511-5110 | 2008-05-30 |
| 1104833318 | Linda Jane Palmer | Podiatrist | 1149 Professional Park Dr, Brandon, FL 33511-4887 | 2006-08-01 |
| 1043262173 | John V Tran Dpm Mph Pa | Podiatrist | 1462 Oakfield Dr, Brandon, FL 33511-4853 | 2006-05-17 |
| 1811959729 | John Van Tran | Podiatrist | 505 Eichenfeld Dr, Suite 108, Brandon, FL 33511-5985 | 2006-04-05 |
| 1962401067 | Mark G Leitner | Podiatrist | 206 Buckingham Pl, Suite 101, Brandon, FL 33511-4910 | 2005-07-20 |
| 1942209929 | Larry A Kaler | Podiatrist | 669a W Lumsden Rd Ste A, Brandon, FL 33511-5911 | 2005-07-20 |
| 1437505179 | Patrick Donovan | Podiatrist | 615 Vonderburg Dr, Brandon, FL 33511 | 2016-05-12 |
| 1215168521 | Baha Aldean Atway | Podiatrist | 505 Eichenfeld Dr, Suite 108, Brandon, FL 33511-5985 | 2009-08-04 |
| 1265663777 | Kristi L Conway Dpm Pa | Podiatrist | 1149 Professional Park Dr, Brandon, FL 33511-4887 | 2009-07-31 |
| Find all providers in BRANDON | ||||
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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.