NPIMap

Individual provider Active NPI

Peter Douglas Adair Crosby, MD

  • Family Medicine Physician
  • Norwalk, OH
National Provider Identifier
1356337398
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35069794 Issued in OH
Practice address
44 Executive Dr
Norwalk, OH 44857-9566
Phone
(419) 668-4851
Fax
(419) 663-5146
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35069794 OH Primary

Addresses

Primary practice location

44 Executive Dr
Norwalk, OH 44857-9566

Mailing address

PO Box 378
Sandusky, OH 44871-0378
Phone (419) 609-1112

Other identifiers 2

IdentifierTypeStateIssuer
0264851MedicaidOH
080109176OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091116000302 OH Practitioner - Family Practice 6507877503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Ohio Medical Specialists,LLCGroup PAC ID 2769386192, 252 clinicians

Practice addresses (Care Compare)

3004 Hayes Ave
Sandusky, OH 44870-5321
Phone (419) 609-1112

44 Executive Dr
Norwalk, OH 44857-9566
Phone (419) 668-4851

Hospital & facility affiliations

  • Fisher Titus Home Health Center Home health agency, Norwalk, OH, CCN 367400
  • FRMC Home Health Services Home health agency, Sandusky, OH, CCN 367691
  • Fisher-Titus Hospital Hospital, Norwalk, OH, CCN 360065
  • Firelands Regional Medical Center Hospital, Sandusky, OH, CCN 360025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35069794OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Ohio Medical Specialists, LLC CurrentSince Sep 14, 2015 Accepting new patients
Northern Ohio Medical Specialists LLC Family Medicine CurrentSince Sep 14, 2015 Accepting new patients
Northern Ohio Medical Specialists, LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

44 Executive Dr
Norwalk, OH 44857
Phone (419) 668-4851

3004 Hayes Ave
Sandusky, OH 44870
Phone (419) 625-2841

Interoperability endpoints

  • Direct secure messaging: pcrosby20091@nomshealthcare.direct-ci.com

Organizations & group practices 4

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 8

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1356337398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 378",
            "city": "SANDUSKY",
            "state": "OH",
            "postal_code": "448710378",
            "telephone_number": "419-609-1112",
            "fax_number": "419-609-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 EXECUTIVE DR",
            "city": "NORWALK",
            "state": "OH",
            "postal_code": "448579566",
            "telephone_number": "419-668-4851",
            "fax_number": "419-663-5146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROSBY",
        "first_name": "PETER",
        "middle_name": "DOUGLAS ADAIR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35069794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264851",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080109176",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, OH

Sources for this page

Verify at the official NPI Registry.