Michael K. Crider, M.D., PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

01029431 Issued in IN

Legal business name

MICHAEL K. CRIDER, M.D., PC

Practice address

3310 W Purdue Ave
Muncie, IN 47304-6355

Phone

(765) 281-1400

Fax

(765) 282-2133

NPI assigned

Sep 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael K Crider, M.D.NPI 1285605626

Title

President

Phone

(765) 281-1400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 1

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

• Michael K Crider, MD

  • Dermatology Physician
  • Muncie, IN
  • NPI 1285605626
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1073709515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046355",
            "telephone_number": "765-281-1400",
            "fax_number": "765-282-2133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W PURDUE AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473046355",
            "telephone_number": "765-281-1400",
            "fax_number": "765-282-2133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL K. CRIDER, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-19",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "CRIDER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "765-281-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "01029431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "000000091505",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl W Meyer III, MD
• Nathaniel Meyer
• Karen Ann Meyers, FAMILY NURSE PRACTI
• Mi Primary Care Practice, PC (WellNow Allergy)
• Kaleem Mian, DDS
• Nathaniel David Michael, M.D.
• Taylor Mickle, RBT
• Mid-America Surgery Center
• Mallory Marie Middleton
• Zoe Angelia Middleton

• Specialist in Muncie, IN
• Providers in Muncie, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.