DR. CRYSTAL ANN FOX (NPI# 1528302064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528302064 |
| Entity Type | Individual |
| Full Name | DR. CRYSTAL ANN FOX |
| Other Name | DR. CRYSTAL ANN SHAW |
| Credential | MD |
| Practice Address |
22 Bramhall St Portland ME 04102-3175 |
| Mailing Address |
7 Wynmoor Dr Scarborough ME 04074-8003 |
| Practice Telephone | 2076620111 |
| Mailing Telephone | 7088344340 |
| Enumeration Date | 2012-11-21 |
| Last Update Date | 2019-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125062499 | IL | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125062499 | IL | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | MD22907 | ME | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 530 Ne Glen Oak Ave # 5607, Peoria, IL 616370001 | 3096553863 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033526587 | Crystal Fox | Occupational Therapy Assistant | 1051 Salsona Ave, Kissimmee, FL 34744-6035 | 2014-07-16 |
| 1124502422 | Crystal Fox | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-09-21 |
| 1275085797 | Crystal L Fox | Nurse Practitioner | 3 Saint Francis Dr Ste 360, Greenville, SC 29601-3972 | 2016-11-01 |
| 1942573779 | Crystal Hays Fox | Dietitian, Registered | 1325 Louisville Ave, Monroe, LA 71201-6021 | 2012-02-09 |
| 1215228408 | Crystal L Fox | Counselor | 875 W Moreno Ave, Colorado Springs, CO 80905-1731 | 2011-04-22 |
| 1558675587 | Crystal Kattie Fox | Social Worker | 106 S Jefferson St, Kaufman, TX 75142-1928 | 2010-08-02 |
| Street Address |
22 BRAMHALL ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-3175 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641355 | Suzanne Maynard | Specialist | 22 Bramhall St, Dept of Anesthesiology, Portland, ME 04102 | 2005-07-05 |
| 1902406135 | Barbara Lewis-armstrong | Social Worker | 22 Bramhall St, Portland, ME 04102-3175 | 2020-10-27 |
| 1285231217 | Malia Haddock | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-10-02 |
| 1972118222 | Morgan O'brien | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-09-14 |
| 1295349900 | Natalie Margaret Petrone | Occupational Therapist | 22 Bramhall St, Portland, ME 04102-3175 | 2020-09-01 |
| 1467065565 | Mandi Ann Horwath | Nurse Practitioner | 22 Bramhall St, Portland, ME 04102-3134 | 2020-08-28 |
| 1922610492 | Diana Christine Hubbell | Registered Nurse | 22 Bramhall St, Portland, ME 04102-3134 | 2020-08-17 |
| 1790393023 | Rami Waked | Student in an Organized Health Care Education/Training Program | 22 Bramhall St, Portland, ME 04102-3134 | 2020-07-22 |
| 1871117143 | Lesley Raley | Pharmacist | 22 Bramhall St, Portland, ME 04102-3134 | 2020-06-03 |
| 1023638707 | Rebecca Naomi Glass | Physical Therapist | 22 Bramhall St, Portland, ME 04102-3134 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700235512 | Samuel Woodworth | Hospitalist | 22 Bramhall St Rm 2227, Portland, ME 04102-3134 | 2016-06-13 |
| 1659547677 | Bassel Beitinjaneh | Hospitalist | 4984 Sw Oleson Rd, 27, Portland, OR 97225-1462 | 2008-04-30 |
| 1972697522 | Mark Helfand | Hospitalist | Portland Vamc P3med, 3710 Sw Us Veterans Hospital Road, Portland, OR 97239 | 2006-10-03 |
| 1558468322 | Peter Damian Sullivan | Hospitalist | 3181 Sw Sam Jackson Park Rd # Bte119, Portland, OR 97239-3011 | 2006-09-20 |
| 1457461279 | Thomas William Barrett | Hospitalist | 3710 Sw Us Va Hospital Rd, Portland Vamc (p3med), Portland, OR 97207-1034 | 2006-08-30 |
| 1033777362 | John Mladucky | Hospitalist | 144 State St, Portland, ME 04101-3776 | 2019-06-01 |
| 1215406491 | Cathern Zweifel | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2018-11-18 |
| 1891227658 | Matthew Andrew O'donnell | Hospitalist | 3181 Sw Sam Jackson Park Rd # L-579, Portland, OR 97239-3011 | 2017-03-31 |
| 1396277117 | Rebecca Bystrom | Hospitalist | 22 Bramhall St, Portland, ME 04102-3134 | 2017-03-30 |
| 1821520883 | Kelsi Manley | Hospitalist | 3181 Sw Sam Jackson Park Rd, L-579, Portland, OR 97239-3011 | 2017-03-29 |
| Find all providers in PORTLAND | ||||
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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.