Organization Active NPI

Crisis Hospitalist Staffing Solutions LLC

  • Internal Medicine Physician
  • Fairhope, AL
National Provider Identifier
1346507183
Registry record updated Jul 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
30174 Issued in AL
Legal business name
CRISIS HOSPITALIST STAFFING SOLUTIONS LLC
Doing business as
NICOLE VANNOR KERSH, MD
Practice address
750 Morphy Ave
Fairhope, AL 36532-1812
Phone
(251) 988-1117
NPI assigned
Apr 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2012

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

Authorized official

Name
Nicole Vannor Kersh, M.D.
Title
Owner
Phone
(251) 988-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 30174 AL Primary

Addresses

Primary practice location

750 Morphy Ave
Fairhope, AL 36532-1812

Mailing address

82 Plantation Pointe # 300
Fairhope, AL 36532-2962
Phone (251) 988-1117

Other identifiers 2

IdentifierTypeStateIssuer
137976MedicaidAL
51125157OtherALBLUE CROSS

Other names 1

  • NICOLE VANNOR KERSH, MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341446400000",
    "number": "1346507183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 PLANTATION POINTE # 300",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365322962",
            "telephone_number": "251-988-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MORPHY AVE",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365321812",
            "telephone_number": "251-988-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS HOSPITALIST STAFFING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "KERSH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "VANNOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-988-1117",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "30174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137976",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "51125157",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NICOLE VANNOR KERSH, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

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