Individual provider Active NPI

Neville Quinby Crenshaw, DO

  • Family Medicine Physician
  • Kahoka, MO
National Provider Identifier
1316994783
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R4D47 Issued in MO
Practice address
133 E Main St
Kahoka, MO 63445-1775
Phone
(660) 727-3388
NPI assigned
May 30, 2006
Last updated
May 8, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R4D47 MO Primary

Addresses

Primary practice location

133 E Main St
Kahoka, MO 63445-1775

Mailing address

1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, MO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041118000660 IA Practitioner - Family Practice 4183535313 Reassigns benefits to 1 organization
I20080902000489 MO Practitioner - Family Practice 4183535313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

105 E Quincy St
Lewistown, MO 63452-2560
Phone (573) 215-2715

133 E Main St
Kahoka, MO 63445-1775
Phone (660) 727-3388

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 248-1300

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince May 1, 2017 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC CurrentSince May 1, 2017 Accepting new patients
Quincy Physicians & Surgeons Clinic, PLLC Past Accepting new patients

Locations

1600 Morgan St
Keokuk, IA 52632
Phone (319) 524-7150

1603 Morgan St
Ste 3
Keokuk, IA 52632
Phone (319) 524-3796

1025 Maine St
Quincy, IL 62301
Phone 21722265503163

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

133 E Main St
Kahoka, MO 63445
Phone (660) 727-3388

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494201600000",
    "number": "1316994783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 MAINE ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014038",
            "telephone_number": "217-222-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E MAIN ST",
            "city": "KAHOKA",
            "state": "MO",
            "postal_code": "634451775",
            "telephone_number": "660-727-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRENSHAW",
        "first_name": "NEVILLE",
        "middle_name": "QUINBY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2017-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "R4D47",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahoka, MO

Sources for this page

Verify at the official NPI Registry.