Crestwood Physician Services, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CRESTWOOD PHYSICIAN SERVICES, LLC

Practice address

4810 Whitesport Cir SW
Suite 201
Huntsville, AL 35801-7419

Phone

(256) 429-5248

Fax

(256) 429-5247

NPI assigned

Nov 16, 2010

Last updated

Jan 9, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James Patrick Wright

Title

VP Physician Business Services

Phone

(615) 778-1502

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3038/brand/1/csg/64/fhir/r4

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nnamdi Ikechukwu Azih, MD

  • Internal Medicine Physician
  • Madison, AL
  • NPI 1144718388
  Medicare reassignment Care Compare group NPD
• Alison Baker

  • Critical Care Medicine Nurse Practitioner
  • Huntsville, AL
  • NPI 1881327005
  Medicare reassignment Care Compare group NPD
• Kenneth Joe Batchelor, CRNP

  • Family Nurse Practitioner
  • Huntsville, AL
  • NPI 1205954799
  Medicare reassignment Care Compare group NPD
• Lyle G Bohlman, MD

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1265420301
  Medicare reassignment Care Compare group NPD
• Courtney Blythe Bowen, M.D.

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1760878771
  Medicare reassignment Care Compare group NPD
• Yari P. Campbell, M.D.

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1144398678
  Medicare reassignment Care Compare group NPD
• Blair Chance, MD, MPH

  • Public Health & General Preventive Medicine Physician
  • Madison, AL
  • NPI 1992152607
  Medicare reassignment Care Compare group NPD
• Jenny Crawford Chapman, MD

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1699709709
  Medicare reassignment Care Compare group NPD
• Venkatesh Gupta Cheetirala, MD

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1093236176
  Medicare reassignment Care Compare group NPD
• Ann S. Chu, MD

  • Family Medicine Physician
  • Huntsville, AL
  • NPI 1982788519
  Medicare reassignment Care Compare group NPD
• Brigitte Marie Davis, DO

  • Obstetrics & Gynecology Physician
  • Huntsville, AL
  • NPI 1508488370
  Medicare reassignment Care Compare group NPD
• Meghan J Dunning, CRNP

  • Acute Care Nurse Practitioner
  • Huntsville, AL
  • NPI 1003513458
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578528000000",
    "number": "1154622520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 689022",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370689022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WHITESPORT CIR SW",
            "address_2": "SUITE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017419",
            "telephone_number": "256-429-5248",
            "fax_number": "256-429-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTWOOD PHYSICIAN SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "VP PHYSICIAN BUSINESS SERVICES",
        "authorized_official_telephone_number": "615-778-1502"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crestwood Healthcare LP (Crestwood Medical Center)
• Crestwood Healthcare LP (Crestwood Medical Center)
• Crestwood Healthcare LP (Crestwood Medical Center)
• Crestwood Medical Center
• Crestwood Occupational Medicine/Convenient Care
• CRH Umc LLC (Urgent Medcare)
• Walter Frank Crim, D.M.D
• Crisler Psychology
• Megan Crisler, PH.D.
• Frank J Crisona Jr., MD

• Family Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Family Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.