Organization Active NPI

Crabapple Med, Inc.

  • Anesthesiology Physician
  • Roswell, GA
National Provider Identifier
1962630814
Registry record updated Jun 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
028633 Issued in GA
Legal business name
CRABAPPLE MED, INC.
Practice address
10929 Crabapple Rd
201B
Roswell, GA 30075-7657
Phone
(770) 410-1444
Fax
(678) 827-0520
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2009

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

Authorized official

Name
David Allan Reeder, M.D.
Title
President
Phone
(770) 410-1444

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X 028633 GA Primary

Addresses

Primary practice location

10929 Crabapple Rd
201B
Roswell, GA 30075-7657

Mailing address

10929 Crabapple Rd
201B
Roswell, GA 30075-7657
Phone (770) 410-1444

National Provider Directory

National Provider Directory

Locations

10929 Crabapple Rd
#201B
Roswell, GA 30075
Phone (770) 410-1444

10929 Crabapple Rd
Ste 201B
Roswell, GA 30075
Phone (770) 410-1444

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246320000000",
    "number": "1962630814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 CRABAPPLE RD",
            "address_2": "201B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757657",
            "telephone_number": "770-410-1444",
            "fax_number": "678-827-0520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 CRABAPPLE RD",
            "address_2": "201B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757657",
            "telephone_number": "770-410-1444",
            "fax_number": "678-827-0520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRABAPPLE MED, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2009-06-30",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-410-1444",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "028633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2009; 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.