GABRIEL CRAWFORD (NPI# 1730546243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730546243 |
| Entity Type | Individual |
| Full Name | GABRIEL CRAWFORD |
| Practice Address |
4217 Scenic View Dr Farmington MO 63640-7846 |
| Practice Telephone | 5733306468 |
| Practice Fax Number | 5732180716 |
| Mailing Telephone | 5733306468 |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-02-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 193400000X | Single Specialty | 2084P0800X | MO | Group |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447696737 | Gabriel Crawford | Internal Medicine | 1222 10th Ave, Port Huron, MI 48060-3406 | 2013-05-14 |
| Street Address |
4217 SCENIC VIEW DR |
| City | FARMINGTON |
| State | MO |
| Zip Code | 63640-7846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306379482 | Mineral Area Psychiatric Services LLC | Psychiatry & Neurology | 4217 Scenic View Dr, Farmington, MO 63640-7846 | 2017-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316545254 | Brenda S Halton | Nurse Practitioner | 1010 West Columbia Street, Farmington, MO 63640 | 2020-10-13 |
| 1619519089 | Stacey Nicole Gillette | Counselor | 17885 Hart Pinkston Rd, Farmington, MO 63640 | 2019-10-17 |
| 1346890696 | Christopher Ryan Massey | Social Worker | 607 Pine St., Farmington, MO 63640 | 2019-09-18 |
| 1457909376 | Clarice Ogden | Social Worker | 203 South Washington Street, Farmington, MO 63640 | 2019-09-04 |
| 1861979718 | Clint Thebeau | In Home Supportive Care | 1276 W Liberty St, Farmington, MO 63640 | 2018-07-24 |
| 1023500600 | Lynn Machelle Knox | Counselor | 219 W Columbia St, Farmington, MO 63640 | 2018-05-31 |
| 1235620576 | Kim Bazzell | Registered Nurse | 1565 Ste. Genevieve Ave., Farmington, MO 63640 | 2018-05-22 |
| 1164919742 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 774 Market St, Farmington, MO 63640 | 2018-04-18 |
| 1184127813 | Michelle Lynette Corvallis | Chiropractor | 17 South Franklin St., Farmington, MO 63640 | 2018-03-08 |
| 1992206213 | Farmington Vision Care LLC | Optometrist | 110 E Harrison St, Farmington, MO 63640 | 2018-02-22 |
| Find all providers in zip 63640 | ||||
| Taxonomy Code | 193400000X |
| Grouping | Group |
| Classification | Single Specialty |
| A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396099016 | James Michael Lecluyse | Single Specialty | 222 W Gregory Blvd, Ste 310, Kansas City, MO 64114-1127 | 2012-11-02 |
| City | FARMINGTON |
| Zip Code | 63640 |
Please comment or provide details below to improve the information on GABRIEL CRAWFORD.
| 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.