Organization Active NPI

Gregory M Crever, MD, PC

  • Family Medicine Physician
  • Scottsdale, AZ
National Provider Identifier
1073567756
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32026 Issued in AZ
Legal business name
GREGORY M CREVER, MD, PC
Practice address
8600 E Via de Ventura Ste 101
Scottsdale, AZ 85258-3324
Phone
(480) 991-3480
Fax
(480) 991-1006
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Gregory M Crever, MDNPI 1548254006
Title
President
Phone
(480) 991-3480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 32026 AZ Primary

Addresses

Primary practice location

8600 E Via de Ventura Ste 101
Scottsdale, AZ 85258-3324

Mailing address

3370 N Hayden Rd
Suite 123 PMB 312
Scottsdale, AZ 85251-6632
Phone (480) 991-3480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060607000058 AZ Part B Supplier - Clinic/Group Practice 6103837299 Receives reassigned benefits from 2 practitioners
Practice locations: Scottsdale, AZ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0530252Gregory M Crever MD8600 E Via de Ventura #101, Scottsdale, AZ 85258Certificate of waiverApr 14, 2028

National Provider Directory

National Provider Directory

Locations

3370 N Hayden Rd
Ste 123
Scottsdale, AZ 85251
Phone (480) 255-0396

8600 E Via de Ventura
Ste 101
Scottsdale, AZ 85258
Phone (480) 305-3010

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1073567756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3370 N HAYDEN RD",
            "address_2": "SUITE 123 PMB 312",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516632",
            "telephone_number": "480-991-3480",
            "fax_number": "480-991-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 E VIA DE VENTURA STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583324",
            "telephone_number": "480-991-3480",
            "fax_number": "480-991-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M CREVER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "CREVER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-991-3480",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.

Verify at the official NPI Registry.