Active NPI
Chito M. Crudo, M.D., P.C.
- Surgery Physician
- Belle Vernon, PA
National Provider Identifier
1114138609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD035941L
- Legal business name
- CHITO M. CRUDO, M.D., P.C.
- Practice address
- 25 Fayette Street
Belle Vernon, PA 15012-1666 - Phone
- (724) 929-4122
- Fax
- (724) 929-5188
- NPI assigned
- May 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Chito M Crudo, MD
- Title
- Owner
- Phone
- (724) 929-4122
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD035941L | PA | Primary |
Addresses
Primary practice location
25 Fayette Street
Belle Vernon, PA 15012-1666
Mailing address
PO Box 251
Belle Vernon, PA 15012-0251
Phone (724) 929-5188
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0588419 | Medicaid | PA | |
| 139181 | Other | PA | HIGHMARK |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Rostraver Township, PA
- NPI 1760716872
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180051200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1218067200000",
"number": "1114138609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 251",
"city": "BELLE VERNON",
"state": "PA",
"postal_code": "150120251",
"telephone_number": "724-929-5188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 FAYETTE STREET",
"city": "BELLE VERNON",
"state": "PA",
"postal_code": "150121666",
"telephone_number": "724-929-4122",
"fax_number": "724-929-5188"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHITO M. CRUDO, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-25",
"last_updated": "2008-08-07",
"status": "A",
"authorized_official_last_name": "CRUDO",
"authorized_official_first_name": "CHITO",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "724-929-4122",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "PA",
"license": "MD035941L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0588419",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK",
"identifier": "139181",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Belle Vernon, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.