NPIMap

Organization Active NPI

Kenneth J Crowe MD

  • Family Medicine Physician
  • Opp, AL
National Provider Identifier
1013102656
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18485 Issued in AL
Legal business name
KENNETH J CROWE MD
Practice address
802 N Main St
Suite a
Opp, AL 36467-1614
Phone
(334) 493-2530
Fax
(334) 493-3973
NPI assigned
Sep 6, 2007
Last updated
Nov 29, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mrs. Terry C Crowe
Title
Clinic Manager
Phone
(334) 493-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18485 AL Primary

Addresses

Primary practice location

802 N Main St
Suite a
Opp, AL 36467-1614

Mailing address

802 N Main St
Suite a
Opp, AL 36467-1614
Phone (334) 493-2530

Other identifiers 1

IdentifierTypeStateIssuer
51023704OtherALBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

802 N Main St
Ste A
Opp, AL 36467
Phone (334) 493-2530

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1013102656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N MAIN ST",
            "address_2": "SUITE A",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671614",
            "telephone_number": "334-493-2530",
            "fax_number": "334-493-3973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N MAIN ST",
            "address_2": "SUITE A",
            "city": "OPP",
            "state": "AL",
            "postal_code": "364671614",
            "telephone_number": "334-493-2530",
            "fax_number": "334-493-3973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J CROWE MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "CROWE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "334-493-2530",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51023704",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opp, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2007; 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.