Cresthaven Medical Center

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME71736 Issued in FL

Legal business name

CRESTHAVEN MEDICAL CENTER

Practice address

4320 Forest Hill Blvd
West Palm Beach, FL 33406-5718

Phone

(561) 964-8557

NPI assigned

Jan 30, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Isaac Thompson, MD

Title

Owner

Phone

(561) 964-8557

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1184862039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065718",
            "telephone_number": "561-964-8557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 FOREST HILL BLVD",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334065718",
            "telephone_number": "561-964-8557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESTHAVEN MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ISAAC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-964-8557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME71736",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME 0063531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie Anne Creede, PA-C
• Tamar Creighton, BSN, RN
• Yessika Crespo
• Cresthaven Chiropractic Centre, Inc
• Cresthaven East LLC
• Wendy Wenyu Crew, MD
• Jessica Lynn Cribbs
• Janet Morris Cripanuk, ARNP
• Emily Crispin, BCBA
• Frank M Crittenden Jr., MD

• Pediatrics Physician in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.