Active NPI
Lindsey Eugene Crumlin Jr., M.D.,M.P.H.,F.A.C.S.
- Surgery Physician
- West Columbia, SC
National Provider Identifier
1215202148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 24920
- Practice address
- 1709 Mobile Ave
SC Voc Rehab Disability Determination Services
West Columbia, SC 29170-2140 - Phone
- (803) 896-6789
- NPI assigned
- Mar 9, 2012
- Last updated
- Mar 9, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 28781 | AZ | |
| Surgery Physician | 208600000X | 24920 | SC | Primary |
| Surgery Physician | 208600000X | ME60501 | FL | |
| Surgery Physician | 208600000X | MD.017477 | LA |
Addresses
Primary practice location
1709 Mobile Ave
SC Voc Rehab Disability Determination Services
West Columbia, SC 29170-2140
Mailing address
PO Box 369
Lexington, SC 29071-0369
Phone (864) 426-4578
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28781 | AZ | MD | Surgery Physician |
| ME60501 | FL | MD | Surgery Physician |
| MD.017477 | LA | MD | Surgery Physician |
| 24920 | SC | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331251200000",
"number": "1215202148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 369",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290710369",
"telephone_number": "864-426-4578"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 MOBILE AVE",
"address_2": "SC VOC REHAB DISABILITY DETERMINATION SERVICES",
"city": "WEST COLUMBIA",
"state": "SC",
"postal_code": "291702140",
"telephone_number": "803-896-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUMLIN",
"first_name": "LINDSEY",
"middle_name": "EUGENE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.,M.P.H.,F.A.C.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-09",
"last_updated": "2012-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AZ",
"license": "28781",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "24920",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME60501",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "LA",
"license": "MD.017477",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.