Abby N Crume DO PC

Primary specialty

Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X

License

8907753-1204 Issued in UT

Legal business name

ABBY N CRUME DO PC

Practice address

1250 E 3900 S
Ste 320
Salt Lake City, UT 84124-1348

Phone

(801) 263-1621

Fax

(801) 263-1647

NPI assigned

Jan 11, 2016

Last updated

Mar 15, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kent Meacham

Title

Manager

Phone

(801) 476-9200

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489536000000",
    "number": "1891151668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-263-1621",
            "fax_number": "801-263-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E 3900 S",
            "address_2": "STE 320",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841241348",
            "telephone_number": "801-263-1621",
            "fax_number": "801-263-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY N CRUME DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-11",
        "last_updated": "2017-03-15",
        "status": "A",
        "authorized_official_last_name": "MEACHAM",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-476-9200"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "UT",
            "license": "8907753-1204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWNERS DOB",
            "identifier": "03201982",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Colon & Rectal Surgery Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Colon & Rectal Surgery Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; 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.