Active NPI
Stephen Paul Crossland
- Specialist
- Cumberland, MD
National Provider Identifier
1306899141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- D025296
- Practice address
- 200 Glenn St
Cumberland, MD 21502-2436 - Phone
- (301) 724-0061
- Fax
- (301) 724-0069
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | D025296 | MD | Primary |
Addresses
Primary practice location
200 Glenn St
Cumberland, MD 21502-2436
Mailing address
200 Glenn St
Cumberland, MD 21502-2436
Phone (301) 724-0061
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00730703 | Other | WV | RRMC |
| 000675640 | Other | WV | MSBCBS |
| 92095 | Other | WV | UNICARE |
| 208302 | Other | VA | ANTHEM BCBS |
| 3810011629 | Medicaid | WV | |
| 7137759 | Other | WV | AETNA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| D025296 | MD | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253923200000",
"number": "1306899141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 GLENN ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022436",
"telephone_number": "301-724-0061",
"fax_number": "301-724-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 GLENN ST",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215022436",
"telephone_number": "301-724-0061",
"fax_number": "301-724-0069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSSLAND",
"first_name": "STEPHEN",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-19",
"last_updated": "2009-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MD",
"license": "D025296",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "P00730703",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MSBCBS",
"identifier": "000675640",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE",
"identifier": "92095",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "208302",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810011629",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7137759",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
- Crescent Ridge Counseling, LLC
- Sherilyn Crist, CRNM
- Kristi B. Crites, NP
- April Ann Cross, CRNP
- Jacqueline Candace Cross, REGISTERED NURSE
- Amy Kathryn Crowley, LCSW-C
- Heidi Croyle, COTA/L
- Cumberland Anesthesia
- Cumberland Anesthesia & Pain Management Associates PC
- Cumberland Anesthesia and Pain Management
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.