Sue Ella Crow, MD

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

H2321 Issued in TX

Practice address

14100 Nacogdoches Rd
Ste 116
San Antonio, TX 78247-1903

Phone

(210) 653-8989

Fax

(210) 590-4608

NPI assigned

Aug 7, 2006

Last updated

Jan 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sue E. Crow, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Comfort, TX
  • NPI 1851577035
  NPD (past) Authorized official
• Fredericksburg Family Clinic PA

  dba Cornerstone Clinic

  • Family Medicine Physician
  • Fredericksburg, TX
  • NPI 1306917141
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359504000000",
    "number": "1386653442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 NACOGDOCHES RD",
            "address_2": "STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471903",
            "telephone_number": "210-653-8989",
            "fax_number": "210-590-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14100 NACOGDOCHES RD",
            "address_2": "STE 116",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782471903",
            "telephone_number": "210-653-8989",
            "fax_number": "210-590-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROW",
        "first_name": "SUE",
        "middle_name": "ELLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2013-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "TX",
            "license": "H2321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD",
            "identifier": "00681R",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID EPSDT",
            "identifier": "121206004",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121206005",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "380000649",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8446N0",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRINCETON MEDICAL GROUP PA",
            "identifier": "8K9696",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149747101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine S Crow, PA-C
• Keith A. Crow, M.D.
• Kyle Matthew Crow, DNP-A, CRNA
• Meghan Alice Crow, OTR/L
• Nicholus Jordon Crow, M.S.
• Taylor Malyn Crow, LPCA, NCC, MA
• Ginger Crowder, PA
• Nathan Crowder, MPAS, PA-C
• Shelby Lynn Crowe, BHT
• Brenda Ann Crowell, MA, CCC/LSLP

• Geriatric Medicine (Internal Medicine) Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Geriatric Medicine (Internal Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2013; 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.