Active NPI
Steven Reid Crider, M.D.
- Infectious Disease Physician
- West Monroe, LA
National Provider Identifier
1306858865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD.14000R
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1100501 | Medicaid | LA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080409000040 | LA | Practitioner - Infectious Disease | 2163509696 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.14000R | LA | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Khawar Khurshid M D a Professional Medical Corporation | Infectious Disease | Current | 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.
-
- Infectious Disease Physician
- Sterlington, LA
- NPI 1902283039
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.