Active NPI
Thomas W Crosby, M.D.
- Cardiovascular Disease Physician
- Traverse City, MI
National Provider Identifier
1275528838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 43010075406
- Practice address
- 1200 Sixth St
Suite 200
Traverse City, MI 49684-2369 - Phone
- (231) 935-5800
- Fax
- (231) 935-5822
- NPI assigned
- Sep 20, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 43010075406 | MI | Primary |
Addresses
Primary practice location
1200 Sixth St
Suite 200
Traverse City, MI 49684-2369
Mailing address
1200 Sixth St
PO Box 1627
Traverse City, MI 49684-2369
Phone (231) 935-5800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4730534 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43010075406 | MI | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Physician Services, LLC | Past | Accepting new patients | |
| Grand Traverse Heart Institute | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Grand Traverse Heart Associates
- Clinic/Center
- Traverse City, MI
- NPI 1801881461
-
- Family Medicine Physician
- Dover, OH
- NPI 1215169826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360713600000",
"number": "1275528838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 SIXTH ST",
"address_2": "PO BOX 1627",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842369",
"telephone_number": "231-935-5800",
"fax_number": "231-935-5822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 SIXTH ST",
"address_2": "SUITE 200",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496842369",
"telephone_number": "231-935-5800",
"fax_number": "231-935-5822"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSBY",
"first_name": "THOMAS",
"middle_name": "W",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-20",
"last_updated": "2013-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "43010075406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4730534",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Traverse City, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.