Crown Pathology, PA

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

012546 Issued in ME

Legal business name

CROWN PATHOLOGY, PA

Practice address

140 Academy St
Presque Isle, ME 04769-3102

Phone

(207) 768-4209

Fax

(207) 768-4013

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Paula M Carson

Title

Billing Agent

Phone

(207) 764-7529

Specialties & licenses 1

Addresses

Other identifiers 4

Practitioners 4

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

• Stacy-Jo W. Jandreau, MD

  • Emergency Medicine Physician
  • Presque Isle, ME
  • NPI 1588680177
  NPD (past)
• Nancy Theresa O'Neill, MD

  • Family Medicine Physician
  • Mars Hill, ME
  • NPI 1467556548
  NPD (past)
• Joann Pelkey, CRNA

  • Certified Registered Nurse Anesthetist
  • Presque Isle, ME
  • NPI 1942226444
  NPD (past)
• Steven Musgrave, MD ANESTHESIOLOGIST

  • Anesthesiology Physician
  • Danville, PA
  • NPI 1083703789
  NPD (past)

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1962423814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1820",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047691820",
            "telephone_number": "207-764-7529",
            "fax_number": "207-764-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693102",
            "telephone_number": "207-768-4209",
            "fax_number": "207-768-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN PATHOLOGY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "CARSON",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "207-764-7529"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "ME",
            "license": "012546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GROUP #",
            "identifier": "9482121",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "003962",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "220016505",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123680000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Rae Craig, MS, OT/L
• Shea Gabriella Craig, MS OTR/L
• Bredon Crawford, MD
• Crown Gastroenterology Associates
• Crown Pathology P a
• Melanie A. Cullins, OQMHP-COMMUNITY
• Heather Jean Curran, FNP
• Angela L Curtis
• Cathy L Cyr, MHRT-CSP
• David Mark Cyr, LCSW

• Clinical Pathology/Laboratory Medicine Physician in Presque Isle, ME
• Providers in Presque Isle, ME by specialty
• Clinical Pathology/Laboratory Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.

Verify at the official NPI Registry.