JERRY HUDSON CROSBY (NPI# 1508878778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508878778 |
| Entity Type | Individual |
| Full Name | JERRY HUDSON CROSBY |
| Credential | MD |
| Practice Address |
563 Brendible Street Aisu Metlakatla AK 99926 |
| Mailing Address |
Po Box 559 Metlakatla AK 99926 |
| Practice Telephone | 9078864741 |
| Practice Fax Number | 9078864788 |
| Mailing Telephone | 9078863489 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 8378 | SC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 5777 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | AC7156690 | 01 |
| Street Address |
563 BRENDIBLE STREET AISU |
| City | METLAKATLA |
| State | AK |
| Zip Code | 99926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740294081 | Metlakatla Indian Community | Ambulance | 563 Brendible Street, Metlakatla, AK 99926 | 2006-07-29 |
| 1023374337 | Metlakatla Indian Community | Technician, Other | 563 Brendible Street, Metlakatla, AK 99926 | 2012-04-11 |
| 1871725242 | Metlakatla Indian Community | Community Health Worker | 563 Brendible Street, Metlakatla, AK 99926-0439 | 2009-08-18 |
| 1619087129 | Joseph Biagio Dente | Family Medicine | 563 Brendible Street, Metlakatla, AK 99926-0439 | 2006-08-30 |
| 1801904974 | Deborah Kay Rosenfeld | Physical Therapist | 563 Brendible Street, Metlakatla, AK 99926 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609250745 | Metlakatla Indian Community | Ambulance | 4th & Auriel St., Metlakatla, AK 99926 | 2015-07-18 |
| 1497943898 | Metlakatla Indian Community | Community/Behavioral Health | 100 Upper Milton Ave, Metlakatla, AK 99926 | 2007-10-10 |
| 1922196468 | Jody J Leisholmn | Physician Assistant | 563 Brendible St., Metlakatla, AK 99926 | 2006-10-10 |
| 1992042790 | Eric Matthew Burke | Pharmacist | 563 Brendible St, Metlakatla, AK 99926 | 2013-01-14 |
| 1952668394 | Lillian Darcy Mcgilton | Technician, Other | 563 Brendible St, Metlakatla, AK 99926 | 2012-04-23 |
| 1225303878 | Alonzo Craig Leisholmn Sr. | Community Health Worker | 563 Brendible St, Metlakatla, AK 99926-0439 | 2012-03-15 |
| 1992017628 | Diana M Williams | Community Health Worker | 2017 Eagle Street, Metlakatla, AK 99926-0498 | 2010-07-10 |
| 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 |
|---|---|---|---|---|
| 1619087129 | Joseph Biagio Dente | Family Medicine | 563 Brendible Street, Metlakatla, AK 99926-0439 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702455 | Dr. Bart Worthington LLC | Family Medicine | 2957 Santa Patricia Ct, North Pole, AK 99705-6138 | 2020-08-24 |
| 1861015562 | Maria L Freeman | Family Medicine | 1261 S Seward Meridian Pkwy Ste A, Wasilla, AK 99654-8372 | 2020-05-28 |
| 1285265181 | Kodiak Birth and Wellness, LLC | Family Medicine | 1527 Mission Rd, Kodiak, AK 99615-6507 | 2020-01-29 |
| 1104487461 | The Alfa Doc LLC | Family Medicine | 154 Fairbanks Drive, Valdez, AK 99686 | 2019-06-26 |
| 1982176368 | Functional Medicine of Alaska, LLC | Family Medicine | 508 S Willow St Ste C, Kenai, AK 99611-6940 | 2018-12-22 |
| 1639645021 | Alaska Medical Specialty Group LLC | Family Medicine | 4100 Lake Otis Pkwy Ste 218, Anchorage, AK 99508-5230 | 2018-10-23 |
| 1447736491 | John Martin Kinsey | Family Medicine | 509 Pine Ave, Kenai, AK 99611-7556 | 2018-07-12 |
| 1790278356 | Vanity: Aesthetics, Dermatology & Wellness, LLC | Family Medicine | 431 W 7th Ave Ste 204, Anchorage, AK 99501-3500 | 2018-06-08 |
| 1134638141 | Nathan Neves George | Family Medicine | 950 E Bogard Rd Ste 228, Wasilla, AK 99654-7185 | 2017-09-21 |
| 1396275632 | Donald Curran Olson | Family Medicine | Po Box 62119, Golovin, AK 99762-6119 | 2017-06-19 |
| Find all providers with the same taxonomy | ||||
| City | METLAKATLA |
| Zip Code | 99926 |
Please comment or provide details below to improve the information on JERRY HUDSON CROSBY.
| 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.