Organization Active NPI

Michael J. Crawford, M.D., P.C.

  • Customized Equipment (DME)
  • Grand Rapids, MI
National Provider Identifier
1255481933
Registry record updated Aug 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
4301034057 Issued in MI
Legal business name
MICHAEL J. CRAWFORD, M.D., P.C.
Practice address
415 College Ave NE
Grand Rapids, MI 49503-1705
Phone
(616) 458-4205
Fax
(616) 459-3001
NPI assigned
Jan 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2007

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

Authorized official

Name
Dr. Michael James Crawford, M.D.
Title
President
Phone
(616) 458-4205

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 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

IdentifierTypeStateIssuer
1498399MedicaidMI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188432000000",
    "number": "1255481933",
    "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, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-08-30",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "616-458-4205",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "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 Aug 30, 2007; 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.