Individual provider Active NPI

Clarence Edward Crowe II, CPO

  • Specialist
  • Lakeland, FL
National Provider Identifier
1356577134
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
PRO60, ORF 16 Issued in FL
Practice address
1705 Lakeland Hills Blvd
Lakeland, FL 33805-3001
Phone
(863) 853-1833
NPI assigned
Jun 7, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X PRO60, ORF 16 FL Primary

Addresses

Primary practice location

1705 Lakeland Hills Blvd
Lakeland, FL 33805-3001

Mailing address

5640 N Galloway Rd
Lakeland, FL 33810-2704
Phone (863) 581-5833

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

State licenses

LicenseStateTypeSpecialty
PRO60, ORF 16FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Prosthetics and Orthotics, LLC CurrentSince Sep 9, 2009 Accepting new patients
Integrity Prosthetics and Orthotics, LLC CurrentSince Sep 9, 2009 Accepting new patients
Integrity Prosthetics and Orthotics, LLC CurrentSince Sep 9, 2009 Accepting new patients

Locations

2606 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 682-1040

Organizations & group practices 3

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": "1244332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1356577134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5640 N GALLOWAY RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338102704",
            "telephone_number": "863-581-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 LAKELAND HILLS BLVD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053001",
            "telephone_number": "863-853-1833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWE",
        "first_name": "CLARENCE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-07",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "PRO60, ORF 16",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.