Crystal C. Menser, CSA

Primary specialty

Surgical TechnologistTaxonomy code 246ZS0410X

License

SA167 Issued in KY

Practice address

44 McCoy Ave
Suite 442
Madisonville, KY 42431-2867

Phone

(270) 824-6655

Fax

(270) 824-6629

NPI assigned

Aug 27, 2007

Last updated

Aug 6, 2012By the provider in NPPES

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344211200000",
    "number": "1861686495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "address_2": "SUITE 442",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-824-6655",
            "fax_number": "270-824-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 MCCOY AVE",
            "address_2": "SUITE 442",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424312867",
            "telephone_number": "270-824-6655",
            "fax_number": "270-824-6629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSER",
        "first_name": "CRYSTAL",
        "middle_name": "C.",
        "credential": "CSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2012-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "KY",
            "license": "SA167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN #",
            "identifier": "000000530711",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL ASSISTANT - KY BD OF MEDICAL LIC #",
            "identifier": "SA167",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGICAL ASSIST ASSOC #",
            "identifier": "3031",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry Reed McNeal, MD
• James Diamond McNevin, MD & D.C.
• Medical Center Ambulance Service Inc
• Tina Meece-Terpening
• Christinia Nicole Melton, LPCC
• Josie R Menser
• Zachary Meny, PSY.D.
• Amy Nicole Mercer, APRN
• Jessica Mercer, LPCC-S
• Kole Metz, LPCC

• Surgical Technologist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Surgical Technologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.