Maureen Lee Crotty, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

154 Issued in OK

Practice address

3627 S Harvard Ave
Tulsa, OK 74135-2227

Phone

(918) 494-2902

Fax

(918) 494-2905

NPI assigned

Jul 8, 2005

Last updated

Jun 14, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1497398400000",
    "number": "1073511648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3627 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352227",
            "telephone_number": "918-494-2902",
            "fax_number": "918-494-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 S HARVARD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352227",
            "telephone_number": "918-494-2902",
            "fax_number": "918-494-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "MAUREEN",
        "middle_name": "LEE",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-08",
        "last_updated": "2017-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "OK",
            "license": "154",
            "primary": true
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "OK",
            "license": "154",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OK",
            "license": "154",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME NPI",
            "identifier": "1720467483",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100780270A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Crosswhite
• Anna N Crosswhite, LPC-C
• Cassie Crosthwait
• Brian Crotty, D.O.
• Gloria Jean Crotty, LPC, LADC
• John Raymond Crouch Jr., MD
• Mark Crouch, MD
• Aaliyah Crow
• Carolyn Crow
• Dianne Crow

• Primary Podiatric Medicine Podiatrist in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Primary Podiatric Medicine Podiatrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2017; 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.