DR. JUDSON CROW (NPI# 1841349420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841349420 |
| Entity Type | Individual |
| Full Name | DR. JUDSON CROW |
| Credential | MD |
| Practice Address |
1428 Central Ave Ne East Grand Forks MN 56721-1605 |
| Mailing Address |
4211 Walnut St Grand Forks ND 58201-7731 |
| Practice Telephone | 8667731390 |
| Mailing Telephone | 7017464605 |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-01-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 27269 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | BCBS MN | 440R5CR | 01 |
| BCBS ND | 24372 | 01 | |
| RAILROAD MEDICARE | P00267454 | 01 | |
| ND | 14106 | 05 |
| Street Address |
1428 CENTRAL AVE NE |
| City | EAST GRAND FORKS |
| State | MN |
| Zip Code | 56721-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568401313 | Jerald W Reinhardt | Obstetrics & Gynecology | 1428 Central Ave Ne, East Grand Forks, MN 56721-1605 | 2006-06-06 |
| 1487945853 | Riverview Healthcare Association | Clinic/Center | 1428 Central Ave Ne, East Grand Forks, MN 56721-1605 | 2011-04-20 |
| 1497804082 | Red River Plastic Surgery Center | Clinic/Center | 1428 Central Ave Ne, East Grand Forks, MN 56721-1605 | 2007-01-10 |
| 1811918436 | Riverview Healthcare Association | Clinic/Center | 1428 Central Ave Ne, East Grand Forks, MN 56721-1605 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902421316 | Altru Health System | Assisted Living Facility | 605 5th Ave Nw, East Grand Forks, MN 56721 | 2020-06-11 |
| 1770916025 | Erika Marie Severson | Counselor | 1422 Central Ave Nw, East Grand Forks, MN 56721 | 2013-08-09 |
| 1871823021 | Stephanie Hinkle | Physician Assistant | 621 Central Ave Nw, East Grand Forks, MN 56721 | 2010-01-12 |
| 1437355393 | Sanford Clinic North | Family Medicine | 929 Central Avenue, East Grand Forks, MN 56721 | 2007-06-26 |
| 1821290826 | Andrea M Auch | Physical Therapist | 607 Demers Ave - Altru Clinic I East Grand Forks, East Grand Forks, MN 56721 | 2007-06-01 |
| 1891912812 | East Grand Forks Dental Care | Dentist | 22 4th St. Ne, East Grand Forks, MN 56721 | 2007-04-19 |
| 1457423220 | Jeffrey S Haney | Physical Therapist | 607 Demers Ave - Altru Clinic / East Grand Forks, East Grand Forks, MN 56721 | 2006-11-15 |
| 1679514285 | Jon Edwin Bradbury | Family Medicine | 929 Central Ave. Nw, East Grand Forks, MN 56721 | 2006-06-08 |
| 1891215836 | Abbey L Anderson | Nurse Practitioner | 625 Demers Ave, East Grand Forks, MN 56721 | 2017-06-21 |
| 1114314358 | Mridu Gandhi | Family Medicine | 929 Central Ave Nw, East Grand Forks, MN 56721 | 2015-04-24 |
| Find all providers in zip 56721 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574445 | Echelon Surgical Specialists LLC | Plastic Surgery | 15450 Highway 7 Ste 225, Minnetonka, MN 55345-3522 | 2018-07-05 |
| 1104252022 | Bashioum Cosmetic Surgery Center, Ltd. | Plastic Surgery | 445 Lake St E Ste 210, Wayzata, MN 55391-1671 | 2013-09-24 |
| 1184994501 | James Jerome Diehl | Plastic Surgery | 10530 W Riverview Dr, Eden Prairie, MN 55347-4921 | 2012-01-02 |
| 1851690697 | Jason Dean Fowler | Plastic Surgery | 1420 London Rd Ste 101, Duluth, MN 55805-2437 | 2011-03-18 |
| 1093049348 | Harry Alvin Johnson Jr. | Plastic Surgery | 4708 Townes Road, Edina, MN 55424 | 2009-09-18 |
| 1013151430 | Jennifer Ann Cameron | Plastic Surgery | 310 Smith Ave N Ste 330, Saint Paul, MN 55102 | 2009-04-29 |
| 1538336938 | Oscar Javier Manrique Mogollon | Plastic Surgery | 5347 Scenic Oak Dr Sw, Rochester, MN 55902-2567 | 2008-05-14 |
| 1558533919 | David O. Smith | Plastic Surgery | 6545 France Ave S Ste 505, Edina, MN 55435-2116 | 2008-03-26 |
| 1447442702 | Sue-mi C Tuttle | Plastic Surgery | 401 Phalen Blvd-ms 41104h, Healthpartners Specialty Center 401, St. Paul, MN 55130-5302 | 2007-08-10 |
| 1033314943 | Tracy So Kayan | Plastic Surgery | 2805 Campus Dr Ste 485, Plymouth, MN 55441-2919 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | EAST GRAND FORKS |
| Zip Code | 56721 |
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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.