Organization Active NPI

Maria Crumes M.D. P.C.

  • Diagnostic Radiology Physician
  • Canton, MI
National Provider Identifier
1144280397
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301047022 Issued in MI
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2833962MedicaidMI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.