JEREMY CRIDER (NPI# 1578887584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578887584 |
| Entity Type | Individual |
| Full Name | JEREMY CRIDER |
| Credential | M.D. |
| Practice Address |
405 Belcher St Centreville AL 35042-2946 |
| Practice Telephone | 2059262992 |
| Mailing Telephone | 2059262992 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2018-04-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MD.36736 | AL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 48265 | TN | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 212431 | 05 | |
| TN | 1533376 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4095 American Way Ste 1, Memphis, TN 381188339 | 9012719500 |
| Street Address |
405 BELCHER ST |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042-2946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962422337 | John Bryan Waits | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2006-07-20 |
| 1831797513 | Shaunda Barnes Porter | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-10-14 |
| 1912512435 | Lashandra Walter | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-09-11 |
| 1558970210 | Jasmine Bush | Nurse Practitioner | 405 Belcher St, Centreville, AL 35042-2946 | 2020-07-29 |
| 1871110619 | Emily Macleod | Registered Nurse | 405 Belcher St, Centreville, AL 35042-2946 | 2020-06-27 |
| 1962022459 | Folabi Ibrahim Ariganjoye | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
| 1578183075 | Joseph Michel Mossad | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
| 1346860848 | Molly Christine Hamilton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
| 1467072926 | Jerica Lashay Gibson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
| 1992325492 | Jonathan Sharley | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042-2946 | 2020-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1598286213 | Angela Christine Whiten | Student in an Organized Health Care Education/Training Program | 405 Belcher Street, Centreville, AL 35042 | 2017-07-03 |
| 1407942733 | John Sansbury Meigs Jr. | Family Medicine | 208 Pierson Avenue, Centreville, AL 35042 | 2006-10-05 |
| 1609969203 | Judy Allgood | Nurse Practitioner | 208 Pierson Avenue, Centreville, AL 35042 | 2006-10-02 |
| 1104919760 | Robin Michelle Birchfield | Nurse Practitioner | 208 Pierson Avenue, Centreville, AL 35042 | 2006-10-02 |
| 1619986924 | Johnstone Powe Hollis | Family Medicine | 208 Pierson Avenue, Centreville, AL 35042 | 2006-08-05 |
| 1104856905 | Lata Ravindra Patil | Family Medicine | 208 Pierson Avenue, Centreville, AL 35042 | 2006-07-04 |
| 1477679801 | Bibb County | Local Education Agency (LEA) | 157 Sw Davidson Dr, Centreville, AL 35042-2277 | 2007-03-21 |
| Find all providers in zip 35042 | ||||
| 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 |
|---|---|---|---|---|
| 1396381299 | Chelsea Burnett | Family Medicine | 208 Pierson Ave # 2918, Centreville, AL 35042-2918 | 2019-11-26 |
| 1972828903 | Corey Andrew Mayer | Family Medicine | 405 Belcher Street, Centreville, AL 35042-2946 | 2010-04-01 |
| 1225267495 | Michael Andrew Hartman | Family Medicine | 6201 Centerville Rd, # 100, Centreville, VA 20121 | 2009-07-09 |
| 1669628160 | Bruce Ronald Hyde | Family Medicine | 658 E Main St, Centreville, MI 49032 | 2008-08-15 |
| 1437243391 | Lutfunnessa Parveen Shafi | Family Medicine | 6201 Centreville Rd Ste 200, Centreville, VA 20121-2626 | 2006-10-03 |
| 1518079243 | Heather L Lucas-foster | Family Medicine | 6010 Bond Ave, Centreville, IL 62207-2328 | 2006-08-31 |
| 1962422337 | John Bryan Waits | Family Medicine | 405 Belcher St, Centreville, AL 35042-2946 | 2006-07-20 |
| 1205862380 | Donald Richard Rhodes | Family Medicine | 5715 Centre Square Dr, Centreville, VA 20120-1916 | 2006-06-23 |
| 1386606085 | Eric F Ciganek | Family Medicine | 629 Railroad Ave, Centreville, MD 21617-1144 | 2006-04-06 |
| 1861488074 | Su Fairchild | Family Medicine | 6138 Redwood Square Ctr Ste 204, Centreville, VA 20121-4264 | 2005-09-22 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
Please comment or provide details below to improve the information on JEREMY CRIDER.
| 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.