Active NPI
Steven Trevor McCrorey, MD
- Family Medicine Physician
- Spokane, WA
National Provider Identifier
1265535827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD00037220
- Practice address
- 704 East Sharp Avenue
Spokane, WA 99258-2322 - Phone
- (509) 313-4066
- Fax
- (503) 313-5516
- NPI assigned
- Sep 7, 2006
- Last updated
- Sep 20, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD00037220 | WA | Primary |
Addresses
Primary practice location
704 East Sharp Avenue
Spokane, WA 99258-2322
Mailing address
502 East Boone Ad 106
Spokane, WA 99258-0001
Phone (509) 313-4066
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805582100 | Medicaid | ID | |
| 8242596 | Medicaid | WA | |
| 8242596 | Other | WA | CHPW |
| 156522 | Other | WA | L & I |
| KQ324 | Other | WA | REGENCE |
| 8935357 | Other | WA | CRIMEVICTIMS |
| 911019392 | Other | COMMERCIAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00037220 | WA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726790400000",
"number": "1265535827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "502 EAST BOONE AD 106",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992580001",
"telephone_number": "509-313-4066",
"fax_number": "509-313-5516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "704 EAST SHARP AVENUE",
"city": "SPOKANE",
"state": "WA",
"postal_code": "992582322",
"telephone_number": "509-313-4066",
"fax_number": "503-313-5516"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCROREY",
"first_name": "STEVEN",
"middle_name": "TREVOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2024-09-20",
"certification_date": "2024-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD00037220",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "805582100",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8242596",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHPW",
"identifier": "8242596",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "156522",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "KQ324",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIMEVICTIMS",
"identifier": "8935357",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "911019392",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Spokane, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.