Active NPI
Michael David Crider, CRNA
- Certified Registered Nurse Anesthetist
- Madisonville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 44980
- Practice address
- 900 Hospital Dr
Madisonville, KY 42431-1653 - Phone
- (270) 825-5100
- NPI assigned
- Oct 12, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 44980 | KY | Primary |
Addresses
Primary practice location
900 Hospital Dr
Madisonville, KY 42431-1653
Mailing address
200 Clinic Dr
Madisonville, KY 42431-1661
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000540250 | Other | KY | BCBS |
| 7100015430 | Medicaid | KY | |
| 1096338 | Other | KY | MEDICAL LICENSE |
| 5340A | Other | KY | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, AL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-1100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44980 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trigg County Hospital, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| South Baldwin Anesthesia, PC | Current | Accepting new patients | |
| Trigg County Hospital, Inc | Current | Accepting new patients |
Locations
1613 N McKenzie St
Foley, AL 36535
Phone (251) 949-3400
254 Main St
Cadiz, KY 42211
Phone (270) 522-3215
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Murray, KY
- NPI 1164701447
-
- Critical Access Hospital
- Cadiz, KY
- NPI 1538218680
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Foley, AL
- NPI 1922345438
-
dba Main Street Rural Health Clinic
- Rural Health Clinic/Center
- Cadiz, KY
- NPI 1669103347
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murray, KY
- NPI 1073504981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420675200000",
"number": "1053509265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CLINIC DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 HOSPITAL DR",
"city": "MADISONVILLE",
"state": "KY",
"postal_code": "424311653",
"telephone_number": "270-825-5100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "MICHAEL",
"middle_name": "DAVID",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-12",
"last_updated": "2015-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "44980",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000540250",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100015430",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "1096338",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "5340A",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madisonville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.