DR. CHARLES BRIAN CRIM (NPI# 1174542039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174542039 |
| Entity Type | Individual |
| Full Name | DR. CHARLES BRIAN CRIM |
| Credential | M.D. |
| Practice Address |
2965 Harrison St #217 Beaumont TX 77702-1100 |
| Practice Telephone | 4098924664 |
| Practice Fax Number | 4098923730 |
| Mailing Telephone | 4098924664 |
| Mailing Fax Number | 4098923730 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
D5947 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
2965 HARRISON ST #217 |
| City | BEAUMONT |
| State | TX |
| Zip Code | 77702-1100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699779090 | Raymond Derderian | Internal Medicine | 2965 Harrison St, Ste 317, Beaumont, TX 77702-1150 | 2005-06-13 |
| 1841687522 | Fernando E Silva, Md, Pa | Neurological Surgery | 2965 Harrison St, Ste 111, Beaumont, TX 77702-1186 | 2015-04-21 |
| 1194125161 | Russell Perry, Md, Pa | Allergy & Immunology | 2965 Harrison St, Suite 315, Beaumont, TX 77702-1100 | 2014-08-27 |
| 1922323864 | Marquita Anderson | Obstetrics & Gynecology | 2965 Harrison St, Suite 313, Beaumont, TX 77702-1100 | 2010-04-04 |
| 1548418130 | Vijayalakshmi M Tammareddi Md Pa | Anesthesiology | 2965 Harrison St, Suite # 316, Beaumont, TX 77702-1100 | 2008-09-08 |
| 1023147469 | James Carlton Robinson | Internal Medicine | 2965 Harrison St, 116, Beaumont, TX 77702-1100 | 2007-03-03 |
| 1154403863 | Golden Triangle Neurocare LLP | Psychiatry & Neurology | 2965 Harrison St, Suite 111, Beaumont, TX 77702 | 2006-10-20 |
| 1497836944 | Vijayalakshmi Madala Tammareddi | Anesthesiology | 2965 Harrison St, Suite 316, Beaumont, TX 77702-1100 | 2006-10-18 |
| 1780770362 | Russell Keith Perry | Allergy & Immunology | 2965 Harrison St, Suite 315, Beaumont, TX 77702-1100 | 2006-10-04 |
| 1356446512 | Surgical Critical Care Associates, LLP | Surgery | 2965 Harrison St, Suite 211, Beaumont, TX 77702-1149 | 2006-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346871134 | Anne Parker Chen | Psychologist | 2431 Liberty St., Beaumont, TX 77702 | 2020-01-30 |
| 1841715299 | Encounter Home Care, Inc. | Home Health | 990 I H 10 North, 225, Beaumont, TX 77702 | 2017-08-07 |
| 1962860023 | Jennifer Abney Bell | Nurse Practitioner | 3030 North St., Suite 510, Beaumont, TX 77702 | 2016-02-04 |
| 1720407687 | Jennifer Huff | Nurse Practitioner | 2980 Calder Ave, Beaumont, TX 77702 | 2014-04-08 |
| 1669894580 | Julie Christine Makdsi | Psychologist | 80 Interstate 10 N., Suite 205, Beaumont, TX 77702 | 2014-01-11 |
| 1437586682 | Lori Wenner | Registered Nurse | 2410 Harrison Street, Beaumont, TX 77702 | 2013-10-02 |
| 1548503311 | Robert J Grammatico | Emergency Medicine | 2830 Calder Ave., Beaumont, TX 77702 | 2013-03-30 |
| 1396084992 | Courtney Marie Guidry | Physician Assistant | 755 N 11th St Ste P5200, Beaumont, TX 77702 | 2013-02-04 |
| 1043524788 | Swarnalatha Devi Bathina | Dentist | 490 Ih-10, Suite 200, Beaumont, TX 77702 | 2010-08-05 |
| 1376798884 | Rehana Haq Javed | Pathology | Christus Hospital 2830 Calder St., Beaumont, TX 77702 | 2008-11-25 |
| Find all providers in zip 77702 | ||||
| Taxonomy Code | 207NS0135X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Procedural Dermatology |
| Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers). |
| Notes: Source: American Board of Dermatology, 2007, www.abderm.org [1/1/2008: definition added, source added, title changed] Additional Resources: Some ABMS board certified dermatologists have completed a one-year ACGME approved fellowship in Procedural Dermatology, which has been offered since 2003. At this time the ABD does not offer subspecialty certification in Procedural Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011229 | A Healthier You LLC | Dermatology | 5722 Forest Bend Dr Ste 110, Arlington, TX 76017-1143 | 2020-10-20 |
| 1548777683 | Khidja Seymour | Dermatology | 5288 Trail Lake Dr Ste 13, Fort Worth, TX 76133-1939 | 2018-01-10 |
| 1124484456 | Texas Surgical Dermatology Pa | Dermatology | 21009 Kuykendahl, Suite A, Spring, TX 77379-0000 | 2015-12-31 |
| 1306263256 | Dallas Dermatology | Dermatology | 3110 Lamar Ave, Paris, TX 75460-5020 | 2014-03-27 |
| 1437461258 | Brundha Balaraman | Dermatology | 4747 Bellaire Blvd Ste 240, Bellaire, TX 77401 | 2010-07-09 |
| 1477726214 | Liet N Le | Dermatology | 22659 Highway 59 N, Ste 140, Kingwood, TX 77339-4406 | 2008-04-11 |
| 1821266743 | Linda C Barrows M.d., P.a. | Dermatology | 6800 West Loop S Ste 525, Bellaire, TX 77401-4529 | 2008-02-13 |
| 1053505701 | Kris L Howard Md Pa | Dermatology | 8141 Dorado Dr, Odessa, TX 79765-8533 | 2007-09-05 |
| 1700990736 | Steven Eric Zimmet | Dermatology | 1500 W 34th St, Austin, TX 78703-1433 | 2006-08-18 |
| 1427080076 | Michael G Lehman Iv | Dermatology | 3517 21st Street, Lubbock, TX 79410 | 2006-07-06 |
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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.