Individual provider Active NPI

Lindsey Eugene Crumlin Jr., M.D.,M.P.H.,F.A.C.S.

  • Surgery Physician
  • West Columbia, SC
National Provider Identifier
1215202148
Registry record updated Mar 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
24920 Issued in SC
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
28781AZMDSurgery Physician
ME60501FLMDSurgery Physician
MD.017477LAMDSurgery Physician
24920SCMDSurgery 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.

Verify at the official NPI Registry.