Organization Active NPI

Chito M. Crudo, M.D., P.C.

  • Surgery Physician
  • Belle Vernon, PA
National Provider Identifier
1114138609
Registry record updated Aug 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD035941L Issued in PA
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

Updated by the provider on Aug 7, 2008

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0588419MedicaidPA
139181OtherPAHIGHMARK

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.