Individual provider Active NPI

Steven Reid Crider, M.D.

  • Infectious Disease Physician
  • West Monroe, LA
National Provider Identifier
1306858865
Registry record updated Nov 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD.14000R Issued in LA
Practice address
405 Stella St
Suite a
West Monroe, LA 71291-2968
Phone
(318) 807-8410
Fax
(318) 807-8411
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD.14000R LA Primary

Addresses

Primary practice location

405 Stella St
Suite a
West Monroe, LA 71291-2968

Mailing address

405 Stella St
Suite a
West Monroe, LA 71291-2968
Phone (318) 807-8410

Other identifiers 1

IdentifierTypeStateIssuer
1100501MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080409000040 LA Practitioner - Infectious Disease 2163509696

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.14000RLAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Khawar Khurshid M D a Professional Medical Corporation Infectious Disease CurrentSince Jul 1, 2015 Accepting new patients

Locations

405 Stella St
Ste A
West Monroe, LA 71291
Phone (318) 355-8176

405 Stella St
Ste 1
West Monroe, LA 71291
Phone (318) 325-6200

Organizations & group practices 1

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1306858865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 STELLA ST",
            "address_2": "SUITE A",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912968",
            "telephone_number": "318-807-8410",
            "fax_number": "318-807-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 STELLA ST",
            "address_2": "SUITE A",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712912968",
            "telephone_number": "318-807-8410",
            "fax_number": "318-807-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRIDER",
        "first_name": "STEVEN",
        "middle_name": "REID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "LA",
            "license": "MD.14000R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1100501",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Monroe, LA

Sources for this page

Verify at the official NPI Registry.