Active NPI
Michael J Crews, M.D.
- Ophthalmology Physician
- Greeley, CO
National Provider Identifier
1104805225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33240
- Practice address
- 1701 61St Ave
Greeley, CO 80634-7998 - Phone
- (970) 351-6216
- Fax
- (970) 351-0601
- NPI assigned
- Jan 17, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 33240 | CO | Primary |
Addresses
Primary practice location
1701 61St Ave
Greeley, CO 80634-7998
Mailing address
1701 61St Ave
Greeley, CO 80634-7998
Phone (970) 351-6216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01332402 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33240 | CO | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1104805225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 61ST AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347998",
"telephone_number": "970-351-6216",
"fax_number": "970-351-0601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 61ST AVE",
"city": "GREELEY",
"state": "CO",
"postal_code": "806347998",
"telephone_number": "970-351-6216",
"fax_number": "970-351-0601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWS",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CO",
"license": "33240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01332402",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greeley, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.