Active NPI
Michael J Crawford MD PC
- Ophthalmology Physician
- Grand Rapids, MI
National Provider Identifier
1154515369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 4301034057
- Legal business name
- MICHAEL J CRAWFORD MD PC
- Practice address
- 415 College Ave NE
Grand Rapids, MI 49503-1705 - Phone
- (616) 458-4205
- Fax
- (616) 459-3001
- NPI assigned
- Aug 30, 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. Michael J Crawford, MD
- Title
- President
- Phone
- (616) 458-4205
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301034057 | MI | Primary |
Addresses
Primary practice location
415 College Ave NE
Grand Rapids, MI 49503-1705
Mailing address
415 College Ave NE
Grand Rapids, MI 49503-1705
Phone (616) 458-4205
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1498399 | Medicaid | MI |
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.
-
- Optometrist
- Fremont, MI
- NPI 1477740272
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1154515369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 COLLEGE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031705",
"telephone_number": "616-458-4205",
"fax_number": "616-459-3001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 COLLEGE AVE NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495031705",
"telephone_number": "616-458-4205",
"fax_number": "616-459-3001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL J CRAWFORD MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-30",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "616-458-4205",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301034057",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1498399",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.