DR. WILLIAM L CROUCH IV (NPI# 1104878016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104878016 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM L CROUCH IV |
| Credential | MD |
| Practice Address |
2630 Bobcat Village Center Road North Port FL 34288 |
| Practice Telephone | 9414239936 |
| Practice Fax Number | 9414269794 |
| Mailing Telephone | 9414239936 |
| Mailing Fax Number | 9414269794 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2007-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME77617 | FL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053346312 | William Michael Crouch | Dentist | 109 N Holt Ave, Elon, NC 27244-0335 | 2006-07-12 |
| 1912295155 | William E Crouch Jr. | Pharmacy Technician | 4300 West 7th Street, Va Medical Center ( Pharmacy 119/lr ), Little Rock, AR 72205 | 2011-07-20 |
| Street Address |
2630 BOBCAT VILLAGE CENTER ROAD |
| City | NORTH PORT |
| State | FL |
| Zip Code | 34288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245787795 | Hope Diana | Dental Hygienist | 3026 Seth Road, North Port, FL 34288 | 2016-09-01 |
| 1942402946 | Melinda Wilson | Physical Therapy Assistant | 5999 Bibb Court, North Port, FL 34288 | 2007-06-01 |
| 1447314190 | Girish D. Patel | Internal Medicine | 2500 Bobcat Village Center Rd, Suite E, North Port, FL 34288 | 2006-12-20 |
| 1295804649 | Francisco V Ramirez IIi | Physical Therapist | 2530 Bobcat Village Center Rd Unit C, North Port, FL 34288 | 2006-11-07 |
| 1700398864 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 1500 Price Creek Way, North Port, FL 34288 | 2017-10-30 |
| 1629517321 | Ketul Shah | Physical Therapist | 2530 Bobcat Village Center Rd Unit C, North Port, FL 34288 | 2017-02-15 |
| 1881835569 | Northport Emergency Associates, Pa | Emergency Medicine | 2345 Bobcat Village Center Rd, North Port, FL 34288 | 2009-03-10 |
| 1417085069 | Pieter H. Tepaske | Physical Therapist | 2530 Bobcat Village Center Rd Unit C, North Port, FL 34288 | 2007-03-02 |
| 1932576733 | Erika Miley | Counselor | 1121 W Price Blvd # 107, North Port, FL 34288-1814 | 2015-08-27 |
| 1811455835 | The Center for Mental and Sexual Health LLC | Counselor | 1121 W Price Blvd # 107, North Port, FL 34288-1814 | 2019-03-08 |
| Find all providers in zip 34288 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457950420 | Paxton Medical Management | Family Medicine | 14279 Tamiami Trl, North Port, FL 34287-2215 | 2020-10-21 |
| 1619589348 | Lisa Joy Richards | Family Medicine | 4578 N Biscayne Dr, North Port, FL 34291-7081 | 2020-08-24 |
| 1831685460 | Primary Care Practitioners of Florida | Family Medicine | 3769 Garlenda Ave, North Port, FL 34286-7465 | 2018-07-06 |
| 1770963506 | Jessica Perez-cardwell | Family Medicine | 2345 Bobcat Village Center Rd Unit 202, North Port, FL 34288-8999 | 2015-06-07 |
| 1306147962 | Stacey Gill Do | Family Medicine | 3084 Tropicaire Blvd, North Port, FL 34286-7117 | 2010-11-12 |
| 1528251287 | William J Eaton Md | Family Medicine | 14400 Tamiami Trl Unit C, North Port, FL 34287-2703 | 2007-08-24 |
| 1437360419 | Northern Medical and Holistic Center Corp | Family Medicine | 5400 Biscayne Drive, North Port, FL 34287 | 2007-05-24 |
| 1982738951 | Robert Bruce Briggs | Family Medicine | 12450 Tamiami Trl S, Suite E, North Port, FL 34287-1473 | 2007-03-14 |
| 1740228386 | Prime Health of North Port LLC | Family Medicine | 2975 Bobcat Village Center Rd, Suite 100, North Port, FL 34288-4600 | 2006-06-04 |
| 1699752436 | David George Cislo | Family Medicine | 13823 Tamiami Trl, North Port, FL 34287-2069 | 2005-12-22 |
| Find all providers in NORTH PORT | ||||
| City | NORTH PORT |
| Zip Code | 34288 |
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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.