NPIMap

Individual provider Active NPI

Colie Crutcher, MD

  • Specialist
  • York, AL
National Provider Identifier
1407967771
Registry record updated Sep 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
17070 Issued in AL
Practice address
754 Derby Dr
York, AL 36925-2122
Phone
(205) 392-5350
Fax
(205) 392-4821
NPI assigned
Aug 31, 2006
Last updated
Sep 27, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 17070 AL Primary

Addresses

Primary practice location

754 Derby Dr
York, AL 36925-2122

Mailing address

754 Derby Dr
York, AL 36925-2122
Phone (205) 392-5350

Other identifiers 1

IdentifierTypeStateIssuer
000025938MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20080709000056 AL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8921170929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
East Tennessee State University Quillen College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hill Hospital of YorkGroup PAC ID 6709788466, 2 clinicians

Practice addresses (Care Compare)

751 Derby Dr
York, AL 36925-2121
Phone (205) 392-5263

751 Derby Dr
York, AL 36925-2194

754 Derby Dr
York, AL 36925-2122

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Hospital of York CurrentSince Nov 6, 2011 Accepting new patients
Hill Hospital of Sumter County CurrentSince Nov 6, 2011 Accepting new patients
Colie E Crutcher MD Specialist CurrentSince Jan 1, 1990 Accepting new patients
Meridian Hma LLC Past Accepting new patients
Meridian Hma LLC Past Accepting new patients
Hill Hospital of York Past Accepting new patients

Locations

751 Derby Dr
York, AL 36925
Phone (205) 392-5263

754 Derby Dr
York, AL 36925
Phone (205) 392-5350

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317081600000",
    "number": "1407967771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 DERBY DR",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252122",
            "telephone_number": "205-392-5350",
            "fax_number": "205-392-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 DERBY DR",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252122",
            "telephone_number": "205-392-5350",
            "fax_number": "205-392-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHER",
        "first_name": "COLIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2011-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "17070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000025938",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in York, AL

Sources for this page

Verify at the official NPI Registry.