Individual provider Active NPI

Margery Stickney McCrum, MD

  • General Practice Physician
  • Westminster, VT
National Provider Identifier
1275521908
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
0420007609 Issued in VT
Practice address
4923 US Route 5
Westminster, VT 05158-9651
Phone
(802) 722-4023
Fax
(802) 722-4137
NPI assigned
Oct 6, 2005
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 042-0007609 VT
General Practice Physician 208D00000X 0420007609 VT Primary

Addresses

Primary practice location

4923 US Route 5
Westminster, VT 05158-9651

Mailing address

4923 US Route 5
Westminster, VT 05158-9651
Phone (802) 722-4023

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
042-0007609VTMDAnesthesiology Physician
0420007609VTMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1128556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1275521908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4923 US ROUTE 5",
            "city": "WESTMINSTER",
            "state": "VT",
            "postal_code": "051589651",
            "telephone_number": "802-722-4023",
            "fax_number": "802-722-4137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4923 US ROUTE 5",
            "city": "WESTMINSTER",
            "state": "VT",
            "postal_code": "051589651",
            "telephone_number": "802-722-4023",
            "fax_number": "802-722-4137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRUM",
        "first_name": "MARGERY",
        "middle_name": "STICKNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-06",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "VT",
            "license": "042-0007609",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VT",
            "license": "0420007609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, VT

Sources for this page

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