JAY M. CRUTCHFIELD (NPI# 1700866290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700866290 |
| Entity Type | Individual |
| Full Name | JAY M. CRUTCHFIELD |
| Credential | MD FACS |
| Practice Address |
1401 E Central Dr Meridian ID 83642-8046 |
| Practice Telephone | 2087954382 |
| Mailing Telephone | 2087954382 |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 21253 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 339756 | 05 | |
| AZ | RAILROAD MEDICARE | 020041119 | 01 |
| Street Address |
1401 E CENTRAL DR |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-8046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386938165 | Joshua Eric Lundberg | Family Medicine | 1401 E Central Dr, Meridian, ID 83642-8046 | 2011-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508350331 | Matthew Jacobsson | Surgery | 2920 N High Desert Way, Meridian, ID 83646-9066 | 2018-06-15 |
| 1881794162 | James Howard Wallace | Surgery | 1600 22nd Ave Fl 3, Meridian, MS 39301 | 2006-09-25 |
| 1184652364 | David J Brown | Surgery | 3875 E Overland Rd Ste 1c, Meridian, ID 83642-9005 | 2006-06-28 |
| 1023060258 | Scott A. Henson | Surgery | 3399 E. Louise Dr., #400, Meridian, ID 83642 | 2006-05-16 |
| 1740231620 | Roberto V. Barresi | Surgery | 3399 E Louise Dr, Ste 400, Meridian, ID 83642-5047 | 2006-05-15 |
| 1477014207 | Idaho Bariatric and Metabolic Institute L.L.C. | Surgery | 3875 E Overland Rd Ste 1c, Meridian, ID 83642-9005 | 2019-03-26 |
| 1689119851 | Medical Arts Surgical Group | Surgery | 1800 12th St, Meridian, MS 39301-4158 | 2016-12-27 |
| 1295145118 | Matthew Coker | Surgery | 2111 14th St, Meridian, MS 39301-4041 | 2014-04-30 |
| 1518382472 | Jason Defatta | Surgery | 1800 12th St, Meridian, MS 39301-4158 | 2014-02-28 |
| 1841615754 | Kelly Carman | Surgery | 3399 E Louise Dr, Meridian, ID 83642-5211 | 2014-02-28 |
| Find all providers in MERIDIAN | ||||
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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.