DR. CRYSTAL H BASTIN


Address: 4820 Kentucky St, South Charleston, WV 25309
Phone: 3047200390

DR. CRYSTAL H BASTIN (NPI# 1962453191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962453191
Entity Type Individual
Full Name DR. CRYSTAL H BASTIN
Other Name CRYSTAL LEA HEATHERMAN
Credential M.D.
Practice Address 4820 Kentucky St
South Charleston
WV 25309
Mailing Address 4605 Maccorkle Ave Sw
Ths Physician Partners, Inc. - Admin Ofc
South Charleston
WV 25309-1311
Practice Telephone 3047200390
Practice Fax Number 3047200391
Mailing Telephone 3044144800
Mailing Fax Number 3044144801
Enumeration Date 2006-05-12
Last Update Date 2018-07-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 20368 WV Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WV GROUP MEDICARE B441 01

Office Location

Street Address 4820 KENTUCKY ST
City SOUTH CHARLESTON
State WV
Zip Code 25309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053539387 Crystal Bastin Md LLC Family Medicine 4820 Kentucky St, South Charleston, WV 25309-1310 2007-04-23
1114026671 Rebecca J Donohoe Nurse Practitioner 4820 Kentucky St, South Charleston, WV 25309-1310 2006-09-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699376905 Lovie Bradshaw Technician 4823 Tennessee St., South Charleston, WV 25309 2020-11-03
1306447735 Barbara Mackenzie Technician 4224 Kanawha Turnpike, South Charleston, WV 25309 2020-11-03
1548861974 Sarah Nichols Technician 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 2020-11-03
1629690177 Jennifer Mabry-goins Technician 4505 River Avenue, S Charleston, WV 25309 2020-05-07
1811537715 Brandon C Dean Psychologist 4857 Macorkle Ave. Sw, South Charleston, WV 25309 2020-01-09
1467096057 Linda Mullins Technician 60 Hayvon Lane, South Charleston, WV 25309 2019-11-06
1831743616 Ann Myriah Beck Nurse Practitioner 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 2019-07-30
1942671227 Edward W Eskew Family Medicine 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 2015-10-13
1720468218 Link Investments LLC Pharmacy 5151 Macorkle Avenue, South Charleston, WV 25309 2015-06-01
1366840951 Eyemart Express LLC Eyewear Supplier (Equipment, not the service) 304 Southbridge Blvd., S.ccharleston, WV 25309 2014-12-12
Find all providers in zip 25309

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003213471 Neveah Health & Wellness Center, Pllc Family Medicine 538 3rd Avenue, South Charleston, WV 25303 2014-12-01
1376967471 Camc Urgent Care Southridge Family Medicine 301 Rhl Ste 3, South Charleston, WV 25309-8275 2014-02-10
1578908703 Patel Inc. Family Medicine 129 7th Ave, South Charleston, WV 25303-1417 2013-05-01
1467535450 Patel & Patel Md Inc Family Medicine 401 Division St Ste 306, South Charleston, WV 25309-1455 2006-10-23
1073547097 Adam J Breinig Family Medicine 1563 Sand Plant Rd, South Charleston, WV 25309-6120 2006-07-10
1598792202 Delberta S Riffe Family Medicine 312 6th Ave Sw, Suite 3, South Charleston, WV 25303-1242 2006-06-27
1568420586 Richard D Hayes, Jr Family Medicine 312 6th Ave, Suite 3, South Charleston, WV 25303-1265 2006-05-01
1821058348 Paul Timothy Kuryla Family Medicine 400 Division St Ste 6, South Charleston, WV 25309-1459 2006-03-27
1730174145 D Duane Berry Family Medicine 5220 Maccorkle Ave Sw, South Charleston, WV 25309-1010 2005-09-13
1760485593 Michael Shane Dewitt Family Medicine 506 Chestnut Street, South Charleston, WV 25309-1402 2005-05-24
Find all providers in SOUTH CHARLESTON

Competitor

Search similar providers

City SOUTH CHARLESTON
Zip Code 25309

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Dataset Information

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.

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