MR. ROBERT L CROUCH (NPI# 1780858126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780858126 |
| Entity Type | Individual |
| Full Name | MR. ROBERT L CROUCH |
| Credential | RPH, CPP, CFTS |
| Practice Address |
103 W Stadium Dr Eden NC 27288-3329 |
| Practice Telephone | 3366274854 |
| Practice Fax Number | 3366278925 |
| Mailing Telephone | 3366274854 |
| Mailing Fax Number | 3366278925 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-06-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225000000X | Orthotic Fitter | 7795378 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
6549 | NC | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013992130 | Robert D Crouch | Dentist | 117 W Pennsylvania Ave, Bessemer City, NC 28016-2635 | 2005-12-13 |
| 1164801692 | Robert Crouch | Family Medicine | 121 E Fort St, Boise, ID 83712-6322 | 2015-05-29 |
| 1477628865 | Robert J Crouch IIi | Physician Assistant | 650 Joel Dr, Blanchfield Army Community Hospital, Ft. Campbell, KY 42223-5349 | 2006-11-21 |
| Street Address |
103 W STADIUM DR |
| City | EDEN |
| State | NC |
| Zip Code | 27288-3329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740246677 | Eden Drug, Inc. | Pharmacy | 103 W Stadium Dr, Eden, NC 27288-3329 | 2006-04-20 |
| 1053947366 | Eden Drug, Inc. | Pharmacy | 103 W Stadium Dr, Eden, NC 27288-3329 | 2020-03-18 |
| 1992298012 | Sandra Harrison Rakestraw | Registered Nurse | 103 W Stadium Dr, Eden, NC 27288-3329 | 2018-06-13 |
| 1811358088 | Amanda Crouch | Pharmacist | 103 W Stadium Dr, Eden, NC 27288-3329 | 2016-03-15 |
| 1780017038 | Chad York | Pharmacist | 103 W Stadium Dr, Eden, NC 27288-3329 | 2013-08-09 |
| 1194991745 | Stephanie Hodges Barnes | Orthotic Fitter | 103 W Stadium Dr, Eden, NC 27288-3329 | 2008-05-05 |
| 1215089222 | Eden Drug Inc | Durable Medical Equipment & Medical Supplies | 103 W Stadium Dr, Eden, NC 27288-3329 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| Taxonomy Code | 225000000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Orthotic Fitter |
| An individual trained in the management of fitting prefabricated orthoses. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: title modified, definition modfied] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194991745 | Stephanie Hodges Barnes | Orthotic Fitter | 103 W Stadium Dr, Eden, NC 27288-3329 | 2008-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821553355 | Danielle Douglas | Orthotic Fitter | 2260 S Church St Ste 601, Burlington, NC 27215-5380 | 2019-02-08 |
| 1093279838 | Latisha Barnes | Orthotic Fitter | M04 Davison Building, Durham, NC 27710-0001 | 2019-01-25 |
| 1386113868 | Melissa Meares | Orthotic Fitter | 1473 Duckworth St, Morganton, NC 28655-9381 | 2018-11-14 |
| 1700389657 | Taylor Kathryn Raines | Orthotic Fitter | 325 Page Rd N Ste 3, Pinehurst, NC 28374-0088 | 2018-03-16 |
| 1588101307 | Barbara C Hudnell | Orthotic Fitter | 223 Bungalow Dr, New Bern, NC 28562-8454 | 2017-01-31 |
| 1558735118 | Lewis Bell | Orthotic Fitter | 1004b W Cumberland St, Dunn, NC 28334-4716 | 2015-11-19 |
| 1033595707 | Mark R Chapman Jr. | Orthotic Fitter | 10931 E Independence Blvd Ste M, Matthews, NC 28105-5057 | 2015-08-05 |
| 1740672328 | Angeline Reiling | Orthotic Fitter | 2680 Henderson Dr Ste 3, Jacksonville, NC 28546 | 2015-02-19 |
| 1053658757 | Wendy Carter | Orthotic Fitter | 8320 Bon Rea Dr, Charlotte, NC 28226 | 2013-01-15 |
| 1164798054 | Betty J Powell | Orthotic Fitter | 1800 Parkwood Blvd W, Suite A, Wilson, NC 27893-3566 | 2012-03-26 |
| Find all providers with the same taxonomy | ||||
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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.