Individual provider Active NPI

Conleth Marie Crowley Crotser, MD

  • Pediatrics Physician
  • Parma, OH
National Provider Identifier
1215901616
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35062165C Issued in OH
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

Updated by the provider on May 17, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0841352MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX, WV3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040308000318 OH Practitioner - Pediatric Medicine 3274421706 Reassigns benefits to 1 organization
I20190617000259 TX Practitioner - Pediatric Medicine 3274421706 Reassigns benefits to 1 organization
I20240214000000 WV Practitioner - HospitalistPractitioner - Pediatric Medicine 3274421706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35062165COHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn., Inc CurrentSince Dec 26, 2023 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 29, 2019 Accepting new patients
Pine Ridge Indian Health Service Hospital CurrentSince Apr 29, 2019 Accepting new patients
Pine Ridge Indian Health Service Hospital Current Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Feb 13, 2022 Accepting new patients
Princeton Community Hospital Assn Inc. CurrentSince Dec 26, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.