Elizabeth McCurdy Crum, M.D.
Individual provider Active NPI Pediatrics Physician · Vestavia, AL
NPI 1265608558 · NPPES record last updated Jun 9, 2011
Key facts
- NPI
- 1265608558
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 30838 (AL)
- Practice address
- 1936 Old Orchard Rd
Vestavia, AL 35216-2247 - Phone
- (205) 978-3200
- NPI assigned
- May 6, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Children'S Hospital of Alabama
Practice addresses (Care Compare)
1936 Old Orchard Rd
Vestavia Hills, AL 35216-2247
Phone 205978320067174
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140918001065 | AL | Practitioner - Pediatric Medicine | 9638398902 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30838 | AL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Children'S Hospital of Alabama | Pediatrics | Current |
Accepting new patients |
| The Children'S Hospital of Alabama | Pediatrics | Current |
Accepting new patients |
| The Children'S Hospital of Alabama | Past | Accepting new patients | |
| The Children'S Hospital of Alabama | Pediatrics | Past | Accepting new patients |
| Health Strides, Inc. | Past | Accepting new patients |
Interoperability endpoints
- ecrum19070@childrensofalabama.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 30838 | AL | Yes |
Addresses
Primary practice location
1936 Old Orchard Rd
Vestavia, AL 35216-2247
Mailing address
1936 Old Orchard Rd
Vestavia, AL 35216-2247
Phone (205) 978-3200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30838 | Other | AL | ALABAMA STATE MEDICAL LICENSE |
Other providers in Vestavia, AL
- Chelsea Standifer Crenshaw
- Jelauryn Crenshaw
- Amy Marie Croft
- Allison Breland Crotwell
- Jennifer Elizabeth Crowley
- Leasia Crum
- CSP Psychiatry LLC
- Emily Culberson
- Chiara May Cunningham
- Cypress Healthcare, LLC
All providers in Vestavia, AL · Pediatrics Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.