Christopher Paul Crotty, M.D.

Primary specialty

Dermatopathology PhysicianTaxonomy code 207ND0900X

License

ME0050669 Issued in FL

Practice address

7335 W Sand Lake Rd Ste 200
Orlando, FL 32819-5539

Phone

(407) 352-8553

Fax

(407) 351-8412

NPI assigned

Aug 12, 2005

Reactivated

Jun 27, 2006

Sex

Male

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1427050178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7335 W SAND LAKE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195539",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W SAND LAKE RD STE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195539",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTTY",
        "first_name": "CHRISTOPHER",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "deactivation_date": "2006-03-22",
        "reactivation_date": "2006-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "FL",
            "license": "ME0050669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "070016387",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantal Armelle Crosson, APRN
• Crossroads Counseling Group LLC
• Alexis Croteau
• Crothers & Leotta P.a (West Orlando Medical and Chiropractic Center)
• Brandon M Crotty, LMHC LAP
• Lani A Crouch, RBT
• Lauren Crouch, PT, DPT
• Nichole Crouch
• Tamela Crouch
• Brad James Crouse, DPT

• Dermatopathology Physician in Orlando, FL
• Providers in Orlando, FL by specialty
• Dermatopathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.