Organization Active NPI

Joshua a. Crum, MD, PA

  • Orthopaedic Surgery Physician
  • San Marcos, TX
National Provider Identifier
1366781189
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
M9941 Issued in TX
Legal business name
JOSHUA A. CRUM, MD, PA
Practice address
1340 Wonder World Dr
Suite 104
San Marcos, TX 78666-7598
Phone
(512) 878-4203
NPI assigned
Feb 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Zachary Ragsdale
Title
Credentialing Account Manager
Phone
(512) 454-5911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X M9941 TX Primary

Addresses

Primary practice location

1340 Wonder World Dr
Suite 104
San Marcos, TX 78666-7598

Mailing address

1340 Wonder World Dr
Suite 104
San Marcos, TX 78666-7598

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130513000361 TX Part B Supplier - Clinic/Group Practice 1658518592 Receives reassigned benefits from 1 practitioner
Practice locations: San Marcos, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1366781189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR",
            "address_2": "SUITE 104",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1340 WONDER WORLD DR",
            "address_2": "SUITE 104",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667598",
            "telephone_number": "512-878-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSHUA A. CRUM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "RAGSDALE",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "CREDENTIALING ACCOUNT MANAGER",
        "authorized_official_telephone_number": "512-454-5911"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "M9941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.