NPIMap

Individual provider Active NPI

Rowe Sanders Crowder III, M.D.

  • Internal Medicine Physician
  • Bay St Louis, MS
National Provider Identifier
1053369801
Registry record updated Jun 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
14176 Issued in MS
Practice address
952 Green Meadow Rd
Bay St Louis, MS 39520-1620
Phone
(228) 463-1649
NPI assigned
May 4, 2006
Last updated
Jun 24, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 14176 MS Primary

Addresses

Primary practice location

952 Green Meadow Rd
Bay St Louis, MS 39520-1620

Mailing address

952 Green Meadow Rd
Bay St Louis, MS 39520-1620
Phone (228) 463-1649

Other identifiers 1

IdentifierTypeStateIssuer
00114628MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070320000199 MS Practitioner - Internal Medicine 3870696420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hospital at GulfportGroup PAC ID 2466524012, 473 clinicians

Practice addresses (Care Compare)

118 Menge Ave
Pass Christian, MS 39571-4746
Phone (228) 822-6770

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital at Gulfport CurrentSince Apr 30, 2024 Accepting new patients
Memorial Hospital at Gulfport Current Accepting new patients
Memorial Hospital at Gulfport CurrentSince Apr 30, 2024 Accepting new patients
Memorial Hospital at Gulfport Past Accepting new patients
Keith Van Meter & Associates Past Accepting new patients

Locations

952 Green Meadow Rd
Bay St Louis, MS 39520
Phone (228) 463-1649

1340 Broad Ave
Ste 440
Gulfport, MS 39501
Phone (228) 867-4855

Networks

  • LA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: rcrowder@direct.mhg.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 63

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466726400000",
    "number": "1053369801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 GREEN MEADOW RD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201620",
            "telephone_number": "228-463-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "952 GREEN MEADOW RD",
            "city": "BAY ST LOUIS",
            "state": "MS",
            "postal_code": "395201620",
            "telephone_number": "228-463-1649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "ROWE",
        "middle_name": "SANDERS",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "14176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00114628",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay St Louis, MS

Sources for this page

Verify at the official NPI Registry.