MR. DONALD RUSSEL CRAWFORD IV (NPI# 1063052561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063052561 |
| Entity Type | Individual |
| Full Name | MR. DONALD RUSSEL CRAWFORD IV |
| Practice Address |
1328 Lake Park Blvd N Ste 102 Carolina Beach NC 28428-3906 |
| Practice Telephone | 9103998666 |
| Mailing Telephone | 9103998666 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5012657 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770077596 | Donald Crawford | Pharmacist | 27 Us Highway 321 Byp S, Winnsboro, SC 29180-7191 | 2018-06-15 |
| 1366592032 | Donald Harrison Crawford Jr. | Psychologist | 3 Gates Cir, Buffalo, NY 14209-1120 | 2007-01-12 |
| 1144254384 | Donald A Crawford | Obstetrics & Gynecology | 1824 Memorial Dr, Clarksville, TN 37043 | 2006-07-11 |
| 1457316598 | Donald Michael Crawford | Emergency Medicine | 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-4501 | 2006-04-20 |
| Street Address |
1328 LAKE PARK BLVD N STE 102 |
| City | CAROLINA BEACH |
| State | NC |
| Zip Code | 28428-3906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235682022 | Pleasure Island Health | Nurse Practitioner | 1328 North Lake Park Blvd Ste 102, Carolina Beach, NC 28428 | 2016-07-27 |
| 1497151625 | Brianna Noelle Walter | Counselor | 1328 Lake Park Blvd N Ste 109, Carolina Beach, NC 28428 | 2014-11-17 |
| 1003061045 | John B Callahan | Counselor | 100 Eighth St N, Carolina Beach, NC 28428 | 2008-11-18 |
| 1649365099 | Amanda Dixon Cerqueira | Dentist | 1328 N. Lake Blvd, Suite 107, Carolina Beach, NC 28428 | 2006-10-03 |
| 1104929884 | North Carolina Cvs Pharmacy LLC | Pharmacy | 901 Dow Rd, Carolina Beach, NC 28428 | 2006-09-07 |
| 1184635302 | Vincent Robert Smith | Dentist | 1300 Bridge Barrier Rd, Carolina Beach, NC 28428 | 2006-08-11 |
| 1972029320 | Kaitlin Sledge Maertz | Speech-Language Pathologist | 105 Florida Ave, Carolina Beach, NC 28428 | 2017-08-17 |
| 1033557665 | Carolina Beach Counseling, LLC | Psychiatry & Neurology | 1328 Lake Park Blvd N, Suite 109, Carolina Beach, NC 28428 | 2013-06-05 |
| 1720253784 | Wilmington Health Pllc | Specialist | 1300 Bridge Barrier Rd, Suite 2, Carolina Beach, NC 28428 | 2008-04-29 |
| 1639776362 | Olga O Orraca | Acupuncturist | 1328 Lake Park Blvd N Ste 106b, Carolina Beach, NC 28428-3906 | 2020-10-06 |
| Find all providers in zip 28428 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811144 | Alice Bradshaw Callis | Nurse Practitioner | 110 Widgeon Dr, Currituck, NC 27929-9628 | 2020-11-04 |
| 1417558990 | Munira Amirali Ward | Nurse Practitioner | 2617 Valley Haven Dr, Raleigh, NC 27603-3197 | 2020-11-03 |
| 1245830215 | Whitney Rains Taheri | Nurse Practitioner | 3004 Tower Blvd, Durham, NC 27707-2542 | 2020-10-29 |
| 1972103232 | Tauscha Alyse Gerald | Nurse Practitioner | 48 Flora Dr, Benson, NC 27504-8076 | 2020-10-27 |
| 1265031413 | Autumn Grimm | Nurse Practitioner | 511 Lauchwood Dr, Laurinburg, NC 28352-5502 | 2020-10-20 |
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1952900268 | Jennifer Marie Wolfe | Nurse Practitioner | 831 E Morehead St Ste 900, Charlotte, NC 28202-2726 | 2020-10-19 |
| 1720686256 | Sheri Elizabeth Maclean | Nurse Practitioner | 117 Ivy Brook Ln, Chapel Hill, NC 27516-8084 | 2020-10-16 |
| 1326645649 | Christina Mccartney Bulluck | Nurse Practitioner | 105 Nassau Ct, Nashville, NC 27856-1656 | 2020-10-09 |
| 1609473172 | Amy Marie Errichetti | Nurse Practitioner | 1349 Upper Brush Creek Rd, Fairview, NC 28730-9217 | 2020-10-07 |
| Find all providers with the same taxonomy | ||||
| City | CAROLINA BEACH |
| Zip Code | 28428 |
Please comment or provide details below to improve the information on MR. DONALD RUSSEL CRAWFORD IV.
| 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.