Crausman Medical Associates LLC
Organization Active NPI Internal Medicine Physician · Rehoboth, MA
NPI 1457093742 · NPPES record last updated Apr 18, 2022
Key facts
- NPI
- 1457093742
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- CRAUSMAN MEDICAL ASSOCIATES LLC
- Practice address
- 5 Adams Cir
Rehoboth, MA 02769-1430 - Phone
- (401) 595-3327
- NPI assigned
- Apr 8, 2022
- Organization subpart
- No
Authorized official
- Name
- Ms. Lisa Souza
- Title
- Practice Manager
- Phone
- (774) 488-1408
Practitioners 17
-
Robert S Crausman, M.D.
-
Kristopher Jackson, MSN, CRNP
-
Kandra L Vincent, RNP
-
Teresa Machado Jagoda, FNP-C
-
Ann L Leal, NP
-
Susan Wareing, NP
-
Cherie Wildrick, NP
-
Stephen James McCabe, PA-C
-
Rosemarie N Zolnierz, PAC
-
Kathleen E. Titus, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220615001539 | MA | Part B Supplier - Clinic/Group Practice | 0941689376 |
Receives reassigned benefits from 17 practitioners Practice locations: Rehoboth, MA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
5 Adams Cir
Rehoboth, MA 02769-1430
Mailing address
5 Adams Cir
Rehoboth, MA 02769-1430
Phone (401) 595-3327
Other providers in Rehoboth, MA
- Circle of Life Adult Foster Care LLC
- Richard M Cohen
- Jaime Conlon
- Lydia Christina Costa
- Christopher M Covello
- Alyssa Damiano
- Kathleen Darowski
- Jaden Reign Deblois
- Megan P. Douglas
- Natasha Lyn Dow
All providers in Rehoboth, MA · Internal Medicine Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.