Margery Stickney McCrum, MD
Individual provider Active NPI General Practice Physician · Westminster, VT
NPI 1275521908 · NPPES record last updated Feb 9, 2012
Key facts
- NPI
- 1275521908
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Physician 208D00000X
- License
- 0420007609 (VT)
- Practice address
- 4923 US Route 5
Westminster, VT 05158-9651 - Phone
- (802) 722-4023
- Fax
- (802) 722-4137
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042-0007609 | VT | MD | Anesthesiology Physician |
| 0420007609 | VT | MD | General Practice Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 042-0007609 | VT | |
| General Practice Physician | 208D00000X | 0420007609 | VT | Yes |
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
Other providers in Westminster, VT
- Beth Lynn Kamhi
- Jessica Kessler
- Nicole Katherine Langlois
- Stacey London-Oshkello
- Jill Alix Marquess
- Hattie Miller
- Cynthia N Moore
- Kai Culler Morrison
- NE Kurn Hattin Homes
- Jessica Pirkey
All providers in Westminster, VT · General Practice Physician in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 9, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.