MR. EDWARD JASON CRUM (NPI# 1376683243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376683243 |
| Entity Type | Individual |
| Full Name | MR. EDWARD JASON CRUM |
| Credential | HEALTH SERVICE TECH. |
| Practice Address |
4200 Ocean St Jacksonville FL 32233-2416 |
| Practice Telephone | 9045647581 |
| Practice Fax Number | 9045647583 |
| Mailing Telephone | 9045647581 |
| Mailing Fax Number | 9045647583 |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 146N00000X | Emergency Medical Technician, Basic | B1757148 | CA | Emergency Medical Service Providers |
| X | 247200000X | Technician, Other | CA | Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700914629 | Edward Walter Crum | Optometrist | 100 Mall Dr Unit A6, Steubenville, OH 43952-3002 | 2007-03-01 |
| 1629313887 | Edward R Crum | Counselor | 1101 N Vandemark Rd, Sidney, OH 45365-3567 | 2012-11-29 |
| 1205865730 | Edward D Crum | Internal Medicine | 2500 Metrohealth Dr, Mhmc-medicine/hematology-oncology, Cleveland, OH 44109-1900 | 2006-06-30 |
| Street Address |
4200 OCEAN ST |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32233-2416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223469 | Ethem Gokdeniz | Private Vehicle | 2274 Fairway Villas Ln North, Atlantic Beach, FL 32233 | 2020-04-06 |
| 1184181000 | Jeremy Klimek | Occupational Therapist | 910 Assisi Lane, Jacksonville, FL 32233 | 2019-02-27 |
| 1811344385 | Kacy Lane Kreger | Speech-Language Pathologist | 2753 Shangri La Dr, Jacksonville, FL 32233 | 2016-05-15 |
| 1407233489 | Meghan Braun | Physical Therapist | 2159 Featherwood Drive West, Atlantic Beach, FL 32233 | 2015-04-29 |
| 1184979908 | Hope and A Future Ministries, Inc. | Clinic/Center | 680 Mayport Rd., Atlantic Beach, FL 32233 | 2012-07-18 |
| 1003171588 | Cheryl M Thacker | Massage Therapist | 531 Atlantic Boulevard, Ste 7, Atlantic Beach, FL 32233 | 2012-07-10 |
| 1730465451 | Jeffery Kreck | Physical Therapy Assistant | 1401 Defender Court West, Atlantic Beach, FL 32233 | 2011-10-26 |
| 1992977029 | Jax Rx Inc | Durable Medical Equipment & Medical Supplies | 1174 Beach Ave, Atlantic Beach, FL 32233 | 2008-03-28 |
| 1336368059 | Lovell L. Farris | Dentist | 10 10th St, Unit 3a, Atlantic Beach, FL 32233 | 2007-04-24 |
| 1033284922 | Maureen C Baxter | Nurse Practitioner | 815 Plaza, Jacksonville, FL 32233 | 2006-11-24 |
| Find all providers in zip 32233 | ||||
| Taxonomy Code | 146N00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Emergency Medical Technician, Basic |
| A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards. |
| Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508316084 | Melissa Angel | Emergency Medical Technician, Basic | 3701 Winton Drive, Jacksonville, FL 32208 | 2016-10-10 |
| 1134155575 | Coastal Ambulance Co.,inc | Emergency Medical Technician, Basic | 194 Thomas Loop Rd, Jacksonville, NC 28540-8518 | 2006-06-25 |
| 1801010293 | Larry Barnes | Emergency Medical Technician, Basic | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2007-04-13 |
| 1831219674 | Charles Conrad Redeker Jr. | Emergency Medical Technician, Basic | 325 Western Blvd, Jacksonville, NC 28546-6341 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043831399 | Joseph Anthony Pingatore | Emergency Medical Technician, Basic | 6030 Wilkinson Rd Apt 210, Sarasota, FL 34233-3872 | 2020-04-28 |
| 1588283071 | James Bridges | Emergency Medical Technician, Basic | 2001 Saxon Dr, New Smyrna Beach, FL 32169-3246 | 2020-04-14 |
| 1891336327 | Tony Bernard Anderson Sr. | Emergency Medical Technician, Basic | 20324 Nw 36th Ct, Miami Gardens, FL 33056-1749 | 2019-10-06 |
| 1538727359 | Robert Ortega IIi | Emergency Medical Technician, Basic | 1513 Se 20th Pl, Homestead, FL 33035-2609 | 2019-06-05 |
| 1013472042 | Christine Anne Sacramento | Emergency Medical Technician, Basic | 20803 Johnson St, Pembroke Pines, FL 33029-1916 | 2019-02-04 |
| 1922502434 | David Patlak | Emergency Medical Technician, Basic | 1881 Washington Ave Apt 2h, Miami Beach, FL 33139-7445 | 2018-03-20 |
| 1164961694 | Dowil Henry | Emergency Medical Technician, Basic | 9628 Ne 2nd Ave, Suite#b3, Miami Shores, FL 33138-2767 | 2017-02-16 |
| 1841734266 | John Mccants | Emergency Medical Technician, Basic | 1302 Detour Rd, Haines City, FL 33844-9304 | 2016-12-05 |
| 1437600418 | Isabel Brasil | Emergency Medical Technician, Basic | 8928 W 35th Ln, Hialeah, FL 33018-1887 | 2016-10-14 |
| 1679946321 | Marcos Abreu Hernandez | Emergency Medical Technician, Basic | 5282 Robbie Ct, West Palm Beach, FL 33415-9108 | 2015-11-03 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 32233 |
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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.