CHRISTOPHER JAMES CRUM (NPI# 1760972574) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760972574 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER JAMES CRUM |
| Credential | APRN, CNP |
| Practice Address |
100 Professional Park Dr Conway SC 29526-9260 |
| Practice Telephone | 8432348260 |
| Mailing Telephone | 8432348260 |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2020-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
21926 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | NP5301 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 809 82nd Pkwy, Myrtle Beach, SC 295724607 | 8436921000 | |
| 831 82nd Pkwy, Myrtle Beach, SC 295724607 | 8438390135 | 8434492333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508856733 | Christopher Paul Crum | Pathology | 75 Francis Street Amory 3, Brigham and Womens Hospital Department of Pathology, Boston, MA 02115 | 2005-10-27 |
| 1326237157 | Christopher M Crum | Physician Assistant | 2828 E Barnett Rd, Medford, OR 97504-8342 | 2007-10-17 |
| Street Address |
100 PROFESSIONAL PARK DR |
| City | CONWAY |
| State | SC |
| Zip Code | 29526-9260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114903051 | James W Adamson | Internal Medicine | 100 Professional Park Dr, Conway, SC 29526 | 2005-12-22 |
| 1033738133 | Careteam Plus, Inc. | Pharmacy | 100 Professional Park Dr, Conway, SC 29526-9260 | 2020-04-09 |
| 1780210997 | Bryan Belesky | Pharmacist | 100 Professional Park Dr, Conway, SC 29526-9260 | 2020-03-19 |
| 1841838869 | Lesley Styers Plowman | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526-9260 | 2019-12-20 |
| 1134775679 | Neely Power Shepheard | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526-9260 | 2019-08-12 |
| 1174864656 | Cathy Gayle Mann | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526 | 2013-03-08 |
| 1679668792 | Julia M. Wren | Internal Medicine | 100 Professional Park Dr, Conway, SC 29526-9260 | 2006-10-04 |
| 1295833085 | Rebecca Alyse Belschner | Nurse Practitioner | 100 Professional Park Dr, Conway, SC 29526-9260 | 2006-09-20 |
| 1558466235 | Eugenia Gainzeo Cooper-merchant | Pediatrics | 100 Professional Park Dr, Conway, SC 29526-9260 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457975237 | Terri L Champion | Massage Therapist | 172 Waccamaw Medical Park Court, Conway, SC 29526 | 2020-06-08 |
| 1689204398 | Alayna Defalco | Clinical Exercise Physiologist | 1320 501 Business, Unit E, Conway, SC 29526 | 2020-01-22 |
| 1124672662 | Proxsys Rx - Sc, LLC | Pharmacy | 300 Singelton Ridge Road, Conway, SC 29526 | 2019-08-01 |
| 1598227431 | Surgery Center of Conway Inc | Clinic/Center | 1405 Main Street, Conway, SC 29526 | 2019-04-01 |
| 1801374962 | Trevor James Hess | Specialist/Technologist | 905 One Landon Loop, Conway, SC 29526 | 2018-08-01 |
| 1851800817 | Katherine Ann Nimphius | Behavioral Analyst | 105 Timberline Dr, Conway, SC 29526 | 2017-09-21 |
| 1922544253 | William Houck | Specialist/Technologist | 925 One Landon Loop, Conway, SC 29526 | 2017-01-10 |
| 1952857278 | Courtney Jeanette Smith | Counselor | 164 Waccamaw Medical Park Dr., Conway, SC 29526 | 2016-08-28 |
| 1336502632 | Jebediah S. Christy, D.d.s - Conway, Pllc | Dentist | 2756 Church St, Conway, SC 29526 | 2016-04-04 |
| 1447615208 | Abl Enterprises, LLC | Optometrist | 113 Citadel Drive, Conway, SC 29526 | 2015-12-22 |
| Find all providers in zip 29526 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617594 | Mckenzie Lauren Cotton | Nurse Practitioner | 1065 Skyline Dr, Conway, AR 72032-3530 | 2020-10-25 |
| 1316566607 | Shannon Busby | Nurse Practitioner | 1505 Winterbrook Dr, Conway, AR 72034-3564 | 2020-04-16 |
| 1538798087 | Glenda Darlene Gore | Nurse Practitioner | 17 Kali Ct, Conway, AR 72032-9477 | 2020-04-06 |
| 1265071427 | Dana Aysha Niederhauser | Nurse Practitioner | 1250 Littlewood Cv, Conway, AR 72032-8986 | 2020-01-04 |
| 1285287680 | Joy Griffith | Nurse Practitioner | 2907 Percy Cir, Conway, AR 72034-5508 | 2019-07-24 |
| 1366094260 | Kerry Kathryn Lewis | Nurse Practitioner | 1910 Royal Dr, Conway, AR 72034-7346 | 2019-07-10 |
| 1487113148 | Laura B Kelly | Nurse Practitioner | 2300 Linda Dr, Conway, AR 72032-8999 | 2019-03-12 |
| 1780141069 | Ashleigh Lynn Kinon | Nurse Practitioner | 2065 Woodlawn Dr, Conway, SC 29526-7703 | 2019-02-22 |
| 1679051668 | Mary Elizabeth Black | Nurse Practitioner | 222 Dave Ward Drive, Conway, AR 72032 | 2018-08-01 |
| 1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
| Find all providers in CONWAY | ||||
Please comment or provide details below to improve the information on CHRISTOPHER JAMES CRUM.
| 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.