Max Linus Crossman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

152910 Issued in NY

Practice address

65 Poultney St
Whitehall Family Medicine
Whitehall, NY 12887-1543

Phone

(518) 499-2444

Fax

(518) 499-0317

NPI assigned

Oct 12, 2005

Last updated

Jun 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1346238433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-499-2444",
            "fax_number": "518-499-0317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 POULTNEY ST",
            "address_2": "WHITEHALL FAMILY MEDICINE",
            "city": "WHITEHALL",
            "state": "NY",
            "postal_code": "128871543",
            "telephone_number": "518-499-2444",
            "fax_number": "518-499-0317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSSMAN",
        "first_name": "MAX",
        "middle_name": "LINUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "152910",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080136518",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01215838",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessika Lynne Barlow, PHARMD
• Shaunna Beecher, PHARMD
• Christopher a Dudley
• Nora Eileen Colomb, RN
• Creekside Chiropractic P.C.
• Lauren Cummings
• CVS Albany LLC (CVS Pharmacy #05166)
• Rebecca Daumont, MSED
• Kerin McCarthy Devlin, FNP
• Tom Genstil, D.C.

• Family Medicine Physician in Whitehall, NY
• Providers in Whitehall, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.