EUGENE MARION CROUCH (NPI# 1265548317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265548317 |
Entity Type | Individual |
Full Name | EUGENE MARION CROUCH |
Credential | M.D. |
Practice Address |
155 S Halifax Ave Daytona Beach FL 32118-4481 |
Practice Telephone | 3862527119 |
Practice Fax Number | 3862535518 |
Mailing Telephone | 3862527119 |
Mailing Fax Number | 3862535518 |
Enumeration Date | 2006-08-22 |
Last Update Date | 2008-03-05 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | ME0045774 | FL | Allopathic & Osteopathic Physicians |
Street Address |
155 S HALIFAX AVE |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32118-4481 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174793376 | Crouch & Dunn Md LLC | Family Medicine | 155 S Halifax Ave, Daytona Beach, FL 32118-4481 | 2008-03-04 |
1073629127 | Luckey M Dunn | Family Medicine | 155 S Halifax Ave, Daytona Beach, FL 32118-4481 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
Find all providers in zip 32118 |
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 |
---|---|---|---|---|
1164063178 | Jordann Wood | Family Medicine | 1890 Lpga Blvd Ste 140, Daytona Beach, FL 32117-7131 | 2019-10-01 |
1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
1245636042 | Dr Ejaz Ahmed Md Pa | Family Medicine | 405 North Clyde Morris Blvd, Daytona Beach, FL 32114-2730 | 2014-11-06 |
1063703833 | Brittany O'dwyer Newton | Family Medicine | 201 N Clyde Morris Blvd Ste 210, Daytona Beach, FL 32114-2765 | 2011-04-27 |
1548498561 | Ayodeji Ladele | Family Medicine | 1410 Lpga Blvd Ste 136, Daytona Beach, FL 32117-5146 | 2009-06-29 |
1417182932 | Phillip Michael Mele Jr. | Family Medicine | 331 Williams Ave, Daytona Beach, FL 32118-3339 | 2009-05-28 |
1326280991 | Kevin Anthony Johnson | Family Medicine | 1400 Hancock Blvd, #1208, Daytona Beach, FL 32114 | 2009-03-29 |
1265658744 | Jessika Gil-pineda | Family Medicine | 1300 Red John Dr, Daytona Beach, FL 32124-1075 | 2007-04-17 |
1548381049 | Andrew Jonathan Niewald | Family Medicine | 305 Memorial Medical Pkwy Ste 502, Daytona Beach, FL 32117-5169 | 2007-04-02 |
Find all providers in DAYTONA BEACH |
City | DAYTONA BEACH |
Zip Code | 32118 |
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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.