CHRISTOPHER ROBIN CROMWELL (NPI# 1629073382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629073382 |
Entity Type | Individual |
Full Name | CHRISTOPHER ROBIN CROMWELL |
Credential | MD |
Practice Address |
293 Nw Peacock Blvd Ste 201 Port Saint Lucie FL 34986-2222 |
Practice Telephone | 7722048870 |
Practice Fax Number | 7722048873 |
Mailing Telephone | 7722048870 |
Mailing Fax Number | 7722048873 |
Enumeration Date | 2005-06-17 |
Last Update Date | 2018-02-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208200000X | Plastic Surgery | 106293 | FL | Allopathic & Osteopathic Physicians |
Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
ME106293 | FL | Allopathic & Osteopathic Physicians |
N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
200401193 | NC | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
BCBS | 138JW | 01 | |
DEA | BC8642806 | 01 | |
NC | 89138JW | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
537 Nw Lake Whitney Pl, Suite 101, Port Saint Lucie, FL 349861620 | 7722048870 | 7722048873 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164544631 | Christopher Howard Cromwell | Counselor | 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6305 | 2007-04-04 |
Street Address |
293 NW PEACOCK BLVD STE 201 |
City | PORT SAINT LUCIE |
State | FL |
Zip Code | 34986-2222 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427531771 | Kurtis Antonio Dickson | Physician Assistant | 293 Nw Peacock Blvd Ste 201, Port Saint Lucie, FL 34986-2222 | 2018-09-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
Find all providers in zip 34986 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
A surgeon who specializes in plastic and reconstructive surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568025419 | Reinventme, LLC | Surgery | 13696 N Us Highway 441 Ste 100, Lady Lake, FL 32159-6815 | 2019-04-17 |
1750854378 | David Gerth Md Pa | Surgery | 4308 Alton Rd Ste 940, Miami Beach, FL 33140-4560 | 2019-01-07 |
1588165773 | Deepak Naidu Md, Pa | Surgery | 201 E Kennedy Blvd Ste 410, Tampa, FL 33602-3641 | 2018-02-23 |
1194225599 | Joseph Charles Gallagher Jr. | Surgery | 9201 Midnight Pass Rd, Sarasota, FL 34242-2921 | 2018-02-13 |
1043729569 | Renee Gasgarth, M.d. P.a. | Surgery | 7300 Sw 62nd Pl Ste 200, South Miami, FL 33143-4800 | 2017-09-27 |
1184150625 | Pamela Loftus | Surgery | 4454 Woodfield Blvd, Boca Raton, FL 33434-5310 | 2017-05-03 |
1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
1629482096 | Jill Swindell | Surgery | 1921 Waldemere St Ste 801, Sarasota, FL 34239-2913 | 2014-06-13 |
1205274784 | Melanie L Aya-ay Md Plastic Surgery Pl | Surgery | 17523 N Dale Mabry Hwy, Lutz, FL 33548-4521 | 2013-06-06 |
1790123487 | Jason Crespo | Surgery | 1250 Pine Ridge Rd Ste 101c, Naples, FL 34108-8913 | 2013-06-05 |
Find all providers with the same taxonomy |
City | PORT SAINT LUCIE |
Zip Code | 34986 |
Please comment or provide details below to improve the information on CHRISTOPHER ROBIN CROMWELL.
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.