Crescent Medical Services LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

085-001790 Issued in IL

Legal business name

CRESCENT MEDICAL SERVICES LLC

Practice address

6721 W Florissant Ave
Saint Louis, MO 63136-3634

Phone

(314) 266-2107

NPI assigned

Apr 26, 2011

Organization subpart

No

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

Authorized official

Name

Miss Daphene Smith, PA-C

Title

President

Phone

(314) 266-2107

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1275824112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6721 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363634",
            "telephone_number": "314-266-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6721 W FLORISSANT AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631363634",
            "telephone_number": "314-266-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAPHENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-266-2107",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "085-001790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "216097002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patricia L Crenshaw, M.ED., LPC
• Shirley Diane Crenshaw, MSW, L.C.S.W.
• Zachary Crenshaw, DO
• Louis F Crepps, M.D.
• Crescendo Consulting LLC
• Sharon Cresci, MD
• Jordan M. Cresswell, PHARM.D.
• Crestwood Back and Neck Pain Clinic
• Crestwood Consultants, Inc.
• Crestwood Dental Group Maxwell DMD PC

• Durable Medical Equipment & Medical Supplies in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Durable Medical Equipment & Medical Supplies in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.