Individual provider Active NPI

Paul A McCrory III, NP

  • Family Nurse Practitioner
  • Bowling Green, OH
National Provider Identifier
1295236602
Registry record updated Apr 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
022604 Issued in OH
Practice address
950 W Wooster St
Bowling Green, OH 43402-2603
Phone
(260) 344-4035
NPI assigned
Feb 22, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 022604 OH Primary

Addresses

Primary practice location

950 W Wooster St
Bowling Green, OH 43402-2603

Mailing address

6435 W Jefferson Blvd PMB 109
Fort Wayne, IN 46804
Phone (260) 344-4035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180606002450 OH Practitioner - Nurse Practitioner 7012272412 Reassigns benefits to 1 organization
I20191209001039 MI Practitioner - Nurse Practitioner 7012272412 Reassigns benefits to 1 organization
I20230208001606 CA Practitioner - Nurse Practitioner 7012272412 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2017
Medicare assignment
May accept Medicare assignment
Group practices
NW Ohio Hospital Medicine Physicians LLCGroup PAC ID 5092169375, 55 clinicians

Practice addresses (Care Compare)

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (844) 270-6621

Hospital & facility affiliations

  • Blanchard Valley Hospital Hospital, Findlay, OH, CCN 360095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
022604OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Last Frontier Healthcare District CurrentSince Jan 1, 2023 Accepting new patients
Memorial Hospital Family CurrentSince Jun 1, 2024 Accepting new patients
Memorial Hospital CurrentSince Jun 1, 2024 Accepting new patients
NW Ohio Hospital Medicine Physicians LLC CurrentSince May 30, 2024 Accepting new patients
Blanchard Valley Regional Health Center Past Accepting new patients

Locations

120 S Main St
Ste A
Alturas, CA 96101
Phone (530) 233-7054

1111 N Nagle St
Alturas, CA 96101
Phone (530) 708-8800

113 E Williams St
Owosso, MI 48867
Phone (989) 725-6101

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

Organizations & group practices 5

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523318400000",
    "number": "1295236602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 W JEFFERSON BLVD PMB 109",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "46804",
            "telephone_number": "260-344-4035",
            "fax_number": "260-969-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W WOOSTER ST",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434022603",
            "telephone_number": "260-344-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCRORY",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_suffix": "III",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "022604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, OH

Sources for this page

Verify at the official NPI Registry.