Frederick C Crum (NPI# 1427081355, PAC ID# 0648222893) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1427081355 |
| PAC ID by PECOS | 0648222893 |
| Professional Enrollment ID | I20090519000640 |
| Full Name | Frederick C Crum |
| Organization Legal Name | CHURCHLAND FAMILY MEDICINE PC |
| Address |
3235 Academy Ave Suite 101 Portsmouth VA 23703-3200 |
| Phone Number | 7574847386 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1951459049 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490017 | BON SECOURS MARYVIEW MEDICAL CENTER |
| 490007 | SENTARA NORFOLK GENERAL HOSPITAL |
| 490044 | SENTARA OBICI HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8700 Sudley Rd, Suite 220, Manassas, VA 20110-4418 | 5713668845 | PRIVIA MEDICAL GROUP,LLC |
| 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 | 7574847386 | CHURCHLAND FAMILY MEDICINE PC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 72% | |
| MIPS_EC_050_overall | Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older | 35% | |
| MIPS_EC_333_overall | Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse) (100%: worst, 0% best) | 0% |
| Organization Legal Name | CHURCHLAND FAMILY MEDICINE PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David H Cyr | Emergency Medicine | Churchland Family Medicine PC | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 |
| Margaret M Stiles | Family Medicine | Churchland Family Medicine PC | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 |
| Street Address |
3235 ACADEMY AVE SUITE 101 |
| City | PORTSMOUTH |
| State | VA |
| Zip | 23703-3200 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Alison Mercer | Optometry | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Roger W Newsom | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| John Edmonds | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Parimal J Soni | Internal Medicine | 3235 Academy Ave, Suite 300, Portsmouth, VA 23703-3200 | |
| Krunal Manubhai Patel | Nephrology | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Mark A Pavilack | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Kori Elkins | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| Relindis Nsofon Mutia | Nurse Practitioner | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Wayne R Devantier | Ophthalmology | Tidewater Eye Center Spc | 3235 Academy Ave, Suite 200, Portsmouth, VA 23703-3200 |
| David H Cyr | Emergency Medicine | Churchland Family Medicine PC | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric J Goldberg | Neurology | Tidewater Neurologists Inc | 3235 Academy Ave, Portsmouth, VA 23703-3200 |
| Margaret M Stiles | Family Medicine | Churchland Family Medicine PC | 3235 Academy Ave, Suite 101, Portsmouth, VA 23703-3200 |
| Keith Zaitoun | Nephrology | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Hemang H Shah | Neurology | Tidewater Neurologists Inc | 3235 Academy Ave, Portsmouth, VA 23703-3200 |
| Antonietta Manaco Castanares | Nephrology | Portsmouth Nephrology PC | 3235 Academy Ave, Suite 301, Portsmouth, VA 23703-3200 |
| Syed H Rahman | Neurology | 3235 Academy Ave, Portsmouth, VA 23703-3200 | |
| Kenneth L Labasky | Clinical Social Worker | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| William J Duane | Psychologist, Clinical | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| John Haddaway | Clinical Social Worker | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| Karen L Mckinley | Clinical Social Worker | Churchland Psychiatric Associates PC | 3300 Academy Ave, Portsmouth, VA 23703-3205 |
| Find all physicians in zip 23703 | |||
| City | PORTSMOUTH |
| Zip Code | 23703 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | PORTSMOUTH + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Frederick C Crum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.