Organization Active NPI

Reginald O Crosley MD PA

  • Primary Care Clinic/Center
  • Baltimore, MD
National Provider Identifier
1376868174
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
D0016109 Issued in MD
Legal business name
REGINALD O CROSLEY MD PA
Practice address
1235 E Monument St
Baltimore, MD 21202-5327
Phone
(410) 732-4200
Fax
(410) 732-7645
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Dr. Reginald O Crosley, MD
Title
Director
Phone
(410) 732-4200

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X D0016109 MD
Medical Specialty Clinic/Center 261QM2500X
Primary Care Clinic/Center 261QP2300X D0016109 MD Primary

Addresses

Primary practice location

1235 E Monument St
Baltimore, MD 21202-5327

Mailing address

1235 East Monument Street Suite 104
1119 B East Monument Street
Baltimore, MD 21202
Phone (410) 732-4200

National Provider Directory

National Provider Directory

Locations

1235 E Monument St
Ste 104
Baltimore, MD 21202

1235 E Monument St
Baltimore, MD 21202
Phone (410) 327-5100

NPI Registry JSON

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

{
    "created_epoch": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1376868174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 EAST MONUMENT STREET SUITE 104",
            "address_2": "1119 B EAST MONUMENT STREET",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "21202",
            "telephone_number": "410-732-4200",
            "fax_number": "410-732-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E MONUMENT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212025327",
            "telephone_number": "410-732-4200",
            "fax_number": "410-732-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGINALD O CROSLEY MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "CROSLEY",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-732-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "MD",
            "license": "D0016109",
            "primary": false
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D0016109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.