CHARLES A CRUMLEY (NPI# 1932147519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932147519 |
| Entity Type | Individual |
| Full Name | CHARLES A CRUMLEY |
| Credential | MD |
| Practice Address |
3004 Cumberland Ave Middlesboro KY 40965-2343 |
| Practice Telephone | 6062484131 |
| Practice Fax Number | 6062484133 |
| Mailing Telephone | 6062484131 |
| Mailing Fax Number | 6062484133 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2011-10-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 9900198 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBSNC | 11906 | 01 |
| NC | 8911906 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831114875 | Charles E. Crumley | Internal Medicine | 751 S Laurel St, Lincolnton, NC 28092-3622 | 2006-07-12 |
| Street Address |
3004 CUMBERLAND AVE |
| City | MIDDLESBORO |
| State | KY |
| Zip Code | 40965-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235125972 | Neil G Barry IIi | Internal Medicine | 3004 Cumberland Ave, Medical Arts Bldg, Middlesboro, KY 40965-2343 | 2005-09-27 |
| 1902162167 | Amber Craig Peace | Surgery | 3004 Cumberland Ave, Middlesboro, KY 40965-2343 | 2012-04-02 |
| 1144278631 | Karen Mcdaniel | Nurse Practitioner | 3004 Cumberland Ave, Medical Arts Building, Middlesboro, KY 40965-2343 | 2006-05-05 |
| 1184605966 | Thomas N Epperson IIi | Internal Medicine | 3004 Cumberland Ave, Medical Arts Bldg, Middlesboro, KY 40965-2343 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396387064 | Christopher Bruce Ellison | Social Worker | 809 19th Street, Middlesboro, KY 40965 | 2019-10-14 |
| 1982255030 | Johnny Wade Nantz II | Case Manager/Care Coordinator | 809 N 19th St, Middlesboro, KY 40965 | 2019-09-20 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1558843227 | Bethany Lauren Wade | Case Manager/Care Coordinator | 19th St, 809, Middlesboro, KY 40965 | 2018-08-30 |
| 1124521505 | Sonya Joyce Mcneil | Speech-Language Pathologist | Kidabilities Pediatric Therapy Center, 2801 Highway 25e, Suite 98, Middlesboro, KY 40965 | 2018-03-13 |
| 1518499862 | Vikki Lynn Johnson | Case Manager/Care Coordinator | 809 North 19th Street, Middlesboro, KY 40965 | 2017-03-28 |
| 1184164287 | Wilson Jeffrey | Occupational Therapist | Address: 235 New Wilson Lane, Middlesboro, KY 40965 | 2017-03-08 |
| 1447797444 | Lesha Loretta Williams | Physician Assistant | 2004 Cumberland Ave Ste 100, Middlesboro, KY 40965 | 2017-01-27 |
| 1619423910 | Audra Anissa Hall | Physical Therapist | 108 Turner Lane, Middlesboro, KY 40965 | 2016-08-28 |
| 1700332061 | Tammy Mclain | Counselor | Selfrefind 809 North 19th Street, Middlesboro, KY 40965 | 2016-08-28 |
| Find all providers in zip 40965 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902162167 | Amber Craig Peace | Surgery | 3004 Cumberland Ave, Middlesboro, KY 40965-2343 | 2012-04-02 |
| 1871790600 | Efren B. Valencia, Jr., Md, Psc | Surgery | 3503 Cumberland Ave, Middlesboro, KY 40965-2611 | 2007-06-27 |
| 1114133055 | Drs Rose and Thomas | Surgery | 123 N 19th St, Middlesboro, KY 40965 | 2007-05-15 |
| 1619978327 | Robert Lee Thomas Iv | Surgery | 123 N 19th St, Suite B301, Middlesboro, KY 40965-2865 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841811866 | Wayne County Surgical Services | Surgery | 1 S Creek Dr Ste 112, Monticello, KY 42633-9472 | 2020-04-30 |
| 1548757859 | Lexington Vein Institute Pllc | Surgery | 3116 Harrodsburg Rd, Lexington, KY 40503-2709 | 2018-04-23 |
| 1578085296 | Cardiovascular Medical Specialists LLC | Surgery | 100 Mallard Creek Rd Ste 150, Louisville, KY 40207 | 2017-07-14 |
| 1639535677 | David Geller, Md, Pllc | Surgery | 3999 Dutchmans Ln Ste 1e, Louisville, KY 40207-4741 | 2016-01-06 |
| 1134501679 | Gustavo Vincent Huerta | Surgery | 1760 Nicholasville Rd Ste 202, Lexington, KY 40503-1472 | 2015-06-21 |
| 1407237563 | Ashleigh Wright | Surgery | 800 Rose St # C-246, Lexington, KY 40536-0293 | 2015-06-15 |
| 1427439561 | Jahan David Miremami | Surgery | 1 Trillium Way Ste 301, Corbin, KY 40701-8426 | 2015-06-15 |
| 1831585199 | Joseph Robert Lewis | Surgery | 2596 Roseville Rd, Glasgow, KY 42141-8460 | 2015-04-13 |
| 1558761734 | Ashland Integrated Medicine Psc | Surgery | 155 W. Central Avenue, Ashland, KY 41101-7364 | 2014-08-26 |
| 1811300817 | Colin Talanda Fath | Surgery | University of Kentucky General Surgery 800 Rose St, Lexington, KY 40536-1009 | 2014-06-06 |
| Find all providers with the same taxonomy | ||||
| City | MIDDLESBORO |
| Zip Code | 40965 |
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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.