THOMAS BENTLEY CRABTREE, JR. (NPI# 1871563817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871563817 |
| Entity Type | Individual |
| Full Name | THOMAS BENTLEY CRABTREE, JR. |
| Credential | M.D. |
| Practice Address |
40894 Highway 12 Avon NC 27915 |
| Mailing Address |
Po Box 975 Avon NC 27915-0975 |
| Practice Telephone | 2529953073 |
| Practice Fax Number | 2529956504 |
| Mailing Telephone | 2529953073 |
| Mailing Fax Number | 2529956504 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2009-12-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2000-00390 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 127AN | 01 |
| NC | 89127AN | 05 |
| Street Address |
40894 HIGHWAY 12 |
| City | AVON |
| State | NC |
| Zip Code | 27915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891826616 | Jamie L Fountain | Internal Medicine | 40894 Highway 12, Healtheast Outer Banks Medical Center, Avon, NC 27915 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548667983 | Jennifer Anne Thor | Counselor | 41838 Nc 12, Ste 104, Avon, NC 27915 | 2014-12-01 |
| 1801940614 | Albemarle Mental Health Center | Social Worker | Sun Realty Building, Avon, NC 27915 | 2007-01-22 |
| 1114001955 | Beach Pharmacy II Ltd | Pharmacy | 41934 Hwy 12, Avon, NC 27915 | 2006-10-25 |
| 1174585012 | Healtheast Outer Banks Medical Center LLC | Clinic/Center | 40894 Hwy 12, Avon, NC 27915 | 2006-04-05 |
| 1972659753 | Albemarle Mental Health Center | Clinical Neuropsychologist | Sun Realty Building, Avon, NC 27915 | 2007-01-26 |
| 1336293190 | Albemarle Mentl Health Center | Clinic/Center | Sun Realty Building, Avon, NC 27915 | 2007-01-22 |
| 1669774394 | Lonnie Timothy Morgan | Pharmacist | 41934 Hwy 12, Avon, NC 27915-0660 | 2010-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518950 | Mobile Foot Care Specialists, L.L.C. | Podiatrist | 38752 Renwood Ave, Avon, OH 44011-5229 | 2020-11-06 |
| 1417557026 | Genesis Campos | Social Worker | 35 Tower Ln Ste 202, Avon, CT 06001-4237 | 2020-11-01 |
| 1447859145 | Kristina Corn | Occupational Therapist | 856 Millbrook Dr, Avon, IN 46123-7454 | 2020-10-22 |
| 1497354310 | Smileez | Dentist | 1 Darling Dr, Avon, CT 06001-4277 | 2020-10-21 |
| 1124627575 | Heather Leigh Black | Counselor | 12 Lakeview Blvd, Avon, CT 06001-3442 | 2020-10-17 |
| 1760099956 | Jessica Thornton | Dietitian, Registered | 5919 Pine Bluff Dr, Avon, IN 46123-6681 | 2020-09-30 |
| 1093322349 | Angela M Demchuk | Home Health Aide | 2735 Center Rd, Avon, OH 44011-1838 | 2020-09-29 |
| 1740897578 | Sierra Hinds | Student in an Organized Health Care Education/Training Program | 216 Commerce Dr, Avon, NY 14414-9784 | 2020-09-25 |
| 1467069377 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 38292 Colorado Ave, Avon, OH 44011-1002 | 2020-09-24 |
| 1437764339 | Kaitlin Mishel Ragan | Behavioral Analyst | 5250 E Us Highway 36 Ste 670, Avon, IN 46123-7867 | 2020-09-09 |
| Find all providers in AVON | ||||
| 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 |
|---|---|---|---|---|
| 1578006896 | Richard Salmon | Family Medicine | 5 Hawks Rdg, Avon, CT 06001-4417 | 2016-11-19 |
| 1386095719 | Stephanie L Reynolds | Family Medicine | 6845 E Us Highway 36 Ste 600, Avon, IN 46123-8132 | 2016-06-27 |
| 1932555844 | Gal Marcan | Family Medicine | 1351 Ronald Reagan Pkwy Ste B, Avon, IN 46123 | 2016-05-10 |
| 1992169700 | Meredith Marie Larson | Family Medicine | 301 Satori Pkwy Ste 200, Avon, IN 46123-6407 | 2016-04-07 |
| 1831486547 | Michael D Buckwalter | Family Medicine | 6845 East Us Highway 36, Ste 600, Avon, IN 46123-8123 | 2011-07-01 |
| 1518096593 | University Primary Care Practices, Inc. | Family Medicine | 1480 Center Rd Ste A, Avon, OH 44011-1239 | 2007-03-05 |
| 1508959487 | Andrew M Cougill | Family Medicine | 1115 N. Ronald Reagan Parkway, Suite 100, Avon, IN 46123-6913 | 2006-10-02 |
| 1790893832 | David Michael Fesak | Family Medicine | 1250 Bur Oak Ct, Avon, IN 46123-9476 | 2006-08-28 |
| 1073526919 | Robert A Rothenberg | Family Medicine | 21 Arts Center Court, Avon, CT 06001-3680 | 2006-08-14 |
| 1669407409 | Suzanne R. Cole | Family Medicine | 8d Canal Ct, Avon, CT 06001-3747 | 2006-07-11 |
| Find all providers in AVON | ||||
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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.