MICHAEL A CRUM (NPI# 1881694248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881694248 |
| Entity Type | Individual |
| Full Name | MICHAEL A CRUM |
| Credential | CRNP |
| Practice Address |
30668 Sussex Hwy Laurel DE 19956-4421 |
| Mailing Address |
Attn Maria Brewington 100 E Carroll St Salisbury MD 21801-5422 |
| Practice Telephone | 3028756550 |
| Practice Fax Number | 3028753130 |
| Mailing Telephone | 4109124976 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000452 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R089536 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | GROUP NPI | 1184832040 | 01 |
| MD | 458004400 | 05 | |
| DE | MEDICAID DELAWARE | 1000037398 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 30668 Sussex Hwy, Laurel, DE 199564421 | 3028756550 | 3028753130 |
| 428 W Market St, Snow Hill, MD 218631127 | 4109124950 | 4106322284 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982604153 | Michael Thomas Crum | Dentist | 200 Vera Ave, Ripon, CA 95366-2345 | 2005-07-28 |
| 1912352030 | Michael Crum | Emergency Medicine | 911 Bypass Rd Bldg A, Pikeville, KY 41501-1689 | 2016-04-26 |
| Street Address |
30668 SUSSEX HWY |
| City | LAUREL |
| State | DE |
| Zip Code | 19956-4421 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255988770 | Melissa M Kestler | Registered Nurse | 30668 Sussex Hwy, Laurel, DE 19956-4421 | 2019-08-20 |
| 1083856686 | Peninsula Regional Medical Center | Family Medicine | 30668 Sussex Hwy, Laurel Family Medicine, Laurel, DE 19956-4421 | 2009-03-27 |
| 1043265945 | Pamela Morris Fleckenstein | Nurse Practitioner | 30668 Sussex Hwy, Laurel, DE 19956-4421 | 2006-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021911 | Arlene Patricia Wood | Counselor | 517 Willow Street, Laurel, DE 19956 | 2018-01-12 |
| 1356897094 | Abigail Siple | Speech-Language Pathologist | 1160 South Central Ave, Laurel, DE 19956 | 2016-09-01 |
| 1750739207 | Erin Johnson | Specialist/Technologist | 14323 Laurel Rd, Laurel, DE 19956 | 2016-05-25 |
| 1922192434 | Antonio Pedro | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-02 |
| 1043311095 | Shellene Marie Ball | Psychologist | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-09-25 |
| 1972670479 | Janice M Mccandless Bruce | Registered Nurse | 11023 Joe Warrington Dr, Laurel, DE 19956 | 2006-11-29 |
| 1093800401 | Odilon Claravall | Internal Medicine | 1124 South Central Ave, Laurel, DE 19956 | 2006-10-03 |
| 1396804829 | Laurel Senior Center, Inc. | Psychologist | 113 N. Central Ave., Laurel, DE 19956-0064 | 2006-12-08 |
| 1326174699 | Kathy Guthrie | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2007-02-23 |
| 1588984769 | Raffaela Ballard | Counselor | 111 Mechanic St, Laurel, DE 19956-1004 | 2010-06-10 |
| Find all providers in zip 19956 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881291870 | Fatoumata Ba | Nurse Practitioner | 9900 Washington Blvd N Ste L, Laurel, MD 20723-1972 | 2020-10-03 |
| 1396350484 | Serene Care Holdings | Nurse Practitioner | 14118 Bowsprit Ln Apt 806, Laurel, MD 20707-6318 | 2020-09-15 |
| 1649880626 | Oak Healthcare Services LLC | Nurse Practitioner | 11601 Duckettown Road, Laurel, MD 20708 | 2020-08-05 |
| 1003425844 | We Walk Together | Nurse Practitioner | 8406 Shadeland Rd, Laurel, MD 20724-1922 | 2020-07-28 |
| 1952919870 | Lauren Abbie Collins | Nurse Practitioner | 32504 Mount Pleasant Rd, Laurel, DE 19956-4246 | 2020-07-16 |
| 1215552302 | Ulrica Olayinka Mbayo | Nurse Practitioner | 3201 Orient Fishtail Rd, Laurel, MD 20724-2931 | 2020-06-15 |
| 1962027599 | Olive Mouafo | Nurse Practitioner | 10100 Snowdrift Downs, Laurel, MD 20723-5873 | 2020-06-09 |
| 1295355832 | Sonia Louis-lapierre | Nurse Practitioner | 9397 3rd St N, Laurel, MD 20723-1922 | 2020-04-23 |
| 1699311571 | Ijeoma D. Anyaibe | Nurse Practitioner | 8101 Sandy Spring Rd Ste 110, Laurel, MD 20707-3596 | 2019-11-26 |
| 1699311712 | Adebisi Allison | Nurse Practitioner | 9319 Player Dr, Laurel, MD 20708-3229 | 2019-11-24 |
| Find all providers in LAUREL | ||||
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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.