Jerry Dean Crum, M.D.

Primary specialty

Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X

License

G87585 Issued in CA

Practice address

600 NW 11TH St
Suite E19
Hermiston, OR 97838-8605

Phone

(541) 289-7171

Fax

(541) 289-7172

NPI assigned

Apr 17, 2006

Last updated

Feb 7, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jerry.crum@1111.chartlogic.direct-ci.com
• Direct secure messaging: jerry.crum@1454673297412.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Eagle Summit Orthopedic & Sports Medicine, LLC

  • Specialist
  • Hermiston, OR
  • NPI 1891238143
  NPD
• Mercy Clinic Springfield Communities

  dba Mercy Clinic Family Medicine-Willow Springs

  • Rural Health Clinic/Center
  • Willow Springs, MO
  • NPI 1972771657
  NPD (past)
• Southern Missouri Orthopaedics and Sports Medicine Clinic

  • Orthopaedic Surgery Physician
  • West Plains, MO
  • NPI 1407032287
  NPD (past)

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360195200000",
    "number": "1265496152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "SUITE E19",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388605",
            "telephone_number": "541-289-7171",
            "fax_number": "541-289-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "SUITE E19",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388605",
            "telephone_number": "541-289-7171",
            "fax_number": "541-289-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUM",
        "first_name": "JERRY",
        "middle_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2013-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G87585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "461055178",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eduardo Rojas Cornejo, CADC
• Cornerstone Pediatrics LLC
• Linda Joan Cornwell, FNP-C
• County of Umatilla School District 8-R (Hermiston School District)
• John Joseph Criswell, PHARMD
• Deepshikha Datta, MD
• David a Drotzmann OD PC (Lifetime Vision Source)
• Christopher Nicholas David, MD
• Maria Francisca Davila
• Maryanne Eloise Davis, CRN

• Sports Medicine (Orthopaedic Surgery) Physician in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Sports Medicine (Orthopaedic Surgery) Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2013; 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.