Active NPI
Crabapple Med, Inc.
- Anesthesiology Physician
- Roswell, GA
National Provider Identifier
1962630814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 028633
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 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 DirectoryLocations
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.