Jerry Dean Crum in Hermiston - Sports Medicine
Jerry Dean Crum - NPI 1265496152
Jerry Dean Crum is a Sports Medicine in Hermiston, Oregon. Jerry Dean Crum practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Jerry Dean Crum is 1265496152. The last update date is 2013-02-07.
Jerry Dean Crum's current location address is 600 Nw 11th St, Hermiston, Oregon. You can contact this provider via phone number 5412897171 and fax number 5412897172. The mailing address for Jerry Dean Crum is 600 Nw 11th St, Hermiston, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Dean Crum |
|---|---|
| Address | 600 Nw 11th St, Hermiston, Oregon |
| Phone Number | 5412897171 |
| Fax Number | 5412897172 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265496152 |
|---|---|
| Provider Enumeration Date | 2006-04-17 |
| Last Updated Date | 2013-02-07 |
Provider Mailing Address Detail
| Address | 600 Nw 11th St |
|---|---|
| City | Hermiston |
| State | Oregon (OR) |
| Post Code | 978388605 |
| Phone Number | 5412897171 |
| Fax Number | 5412897172 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Xx0005X |
| Licence No | G87585 |
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Definition: An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, train |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 461055178 | OR | TAX ID# |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jerry Dean Crum by the Centers for Medicare & Medicaid Services?
The Jerry Dean Crum has been assigned the NPI (National Provider Identifier) 1265496152 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jerry Dean Crum?
The Jerry Dean Crum is situated at 600 Nw 11Th St, in the city of Hermiston, state of OR, with the zip code 978388605.
What is Jerry Dean Crum's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerry Dean Crum is Sports Medicine, and the corresponding taxonomy classification code for this specialized field is 207Xx0005X.
On what date did Jerry Dean Crum receive its 1265496152 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Dean Crum was assigned its 1265496152 on 2006-04-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jerry Dean Crum, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jerry Dean Crum, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-02-07.