Active NPI
Conleth Marie Crowley Crotser, MD
- Pediatrics Physician
- Parma, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35062165C
- Practice address
- 6681 Ridge Rd
Suite 205
Parma, OH 44129-5713 - Phone
- (440) 842-9873
- Fax
- (440) 842-5676
- NPI assigned
- Feb 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35062165C | OH | Primary |
Addresses
Primary practice location
6681 Ridge Rd
Suite 205
Parma, OH 44129-5713
Mailing address
6681 Ridge Rd
Suite 205
Parma, OH 44129-5713
Phone (440) 842-9873
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0841352 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TX, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35062165C | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Princeton Community Hospital Assn., Inc | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| Pine Ridge Indian Health Service Hospital | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Princeton Community Hospital Assn Inc. | Current | Accepting new patients | |
| Princeton Community Hospital Assn., Inc. | Past | Accepting new patients | |
| RCHP-Wilmington, LLC | Past | Accepting new patients | |
| Pediatrix Medical Group of Michigan PC | Past | Accepting new patients |
Locations
22750 Rockside Rd
Bedford, OH 44146
Phone (440) 232-9800
13207 Ravenna Rd
Chardon, OH 44024
Phone (440) 285-5004
11100 Euclid Ave
Cleveland Heights, OH 44106
3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520
6681 Ridge Rd
Ste 205
Parma, OH 44129
Phone (440) 743-8520
401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325
122 12th St
Princeton, WV 24740
Phone (304) 487-7061
Interoperability endpoints
- cocrotse@yourcarecommunity.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Pediatrics
-
- General Acute Care Hospital
- Pine Ridge, SD
- NPI 1497786412
TX
-
- Urology Physician
- Princeton, WV
- NPI 1093917643
-
- Clinic/Center
- Martin, SD
- NPI 1003208257
-
- Clinic/Center
- Wanblee, SD
- NPI 1962559518
-
- Rural Health Clinic/Center
- Bluefield, VA
- NPI 1235446485
-
- General Acute Care Hospital
- Wilmington, OH
- NPI 1063713659
-
- Neonatal-Perinatal Medicine Physician
- Sunrise, FL
- NPI 1720185432
-
- General Acute Care Hospital
- Princeton, WV
- NPI 1558313213
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305590400000",
"number": "1215901616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6681 RIDGE RD",
"address_2": "SUITE 205",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "440-842-9873",
"fax_number": "440-842-5676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6681 RIDGE RD",
"address_2": "SUITE 205",
"city": "PARMA",
"state": "OH",
"postal_code": "441295713",
"telephone_number": "440-842-9873",
"fax_number": "440-842-5676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROTSER",
"first_name": "CONLETH",
"middle_name": "MARIE CROWLEY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-14",
"last_updated": "2011-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35062165C",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0841352",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Parma, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.