Active NPI
Ralph Crum, MD
- Surgery Physician
- Amarillo, TX
National Provider Identifier
1952332512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 41702
- Practice address
- 1911 Port LN
Amarillo, TX 79106-2470 - Phone
- (806) 331-6283
- Fax
- (806) 331-6285
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 41702 | TX | Primary |
| Surgical Critical Care Physician | 2086S0102X | 41702 | TX |
Addresses
Primary practice location
1911 Port LN
Amarillo, TX 79106-2470
Mailing address
1911 Port LN
Amarillo, TX 79106-2470
Phone (806) 331-6283
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41702 | TX | MD | Dentist |
| 41317 | TX | MD | Speech-Language Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1952332512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1911 PORT LN",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062470",
"telephone_number": "806-331-6283",
"fax_number": "806-331-6285"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1911 PORT LN",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062470",
"telephone_number": "806-331-6283",
"fax_number": "806-331-6285"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUM",
"first_name": "RALPH",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "41702",
"primary": true
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "41702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.