Active NPI
Maria Crumes M.D. P.C.
- Diagnostic Radiology Physician
- Canton, MI
National Provider Identifier
1144280397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301047022
- Legal business name
- MARIA CRUMES M.D. P.C.
- Practice address
- 49086 Crescent Dr
Canton, MI 48187-6671 - Phone
- (313) 999-6625
- NPI assigned
- Mar 23, 2006
- 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. Maria Crumes, M.D.
- Title
- President/Physician
- Phone
- (313) 999-6625
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301047022 | MI | Primary |
Addresses
Primary practice location
49086 Crescent Dr
Canton, MI 48187-6671
Mailing address
49086 Crescent Dr
Canton, MI 48187-6671
Phone (313) 999-6625
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2833962 | Medicaid | MI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1144280397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49086 CRESCENT DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481876671",
"telephone_number": "313-999-6625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49086 CRESCENT DR",
"city": "CANTON",
"state": "MI",
"postal_code": "481876671",
"telephone_number": "313-999-6625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARIA CRUMES M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CRUMES",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
"authorized_official_telephone_number": "313-999-6625",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301047022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2833962",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.