CRW MD LLC

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

License

2001004858 Issued in MO

Legal business name

CRW MD LLC

Practice address

601 E 14TH St
Sedalia, MO 65301-5972

Phone

(660) 829-7748

NPI assigned

Feb 20, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christopher R Wilson, MD

Title

Owner

Phone

(660) 829-7748

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1134398498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 171",
            "city": "HALLSVILLE",
            "state": "MO",
            "postal_code": "652550171",
            "telephone_number": "573-829-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E 14TH ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653015972",
            "telephone_number": "660-829-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRW MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-829-7748",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "MO",
            "license": "2001004858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Taylor Cox, M.D.
• Laquetta Ann Coy
• Coyle Stine and Associates LLC (Sedalia Dentistry for Children)
• Justin Robert Cramer, M.D.
• Abrea Cridlebaugh
• Teresa Lynn Cummins, PTA
• Elizabeth A Current, CNM
• Susan Currey, DDS
• Zeina Daaboul
• Ana Delmy Dale

• Rehabilitation Practitioner in Sedalia, MO
• Providers in Sedalia, MO by specialty
• Rehabilitation Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.