Organization Active NPI

Robert F. Crowell, D.O., Steven J. Fisher, D.O., P.C.

  • Family Medicine Physician
  • Brookhaven, PA
National Provider Identifier
1437164597
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ROBERT F. CROWELL, D.O., STEVEN J. FISHER, D.O., P.C.
Practice address
4000 Edgmont Ave
Brookhaven, PA 19015-2211
Phone
(610) 876-3500
Fax
(610) 876-8660
NPI assigned
Jul 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Kaye Baker
Title
Administrator
Phone
(610) 876-3500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X PA Primary

Addresses

Primary practice location

4000 Edgmont Ave
Brookhaven, PA 19015-2211

Mailing address

4000 Edgmont Ave
Brookhaven, PA 19015-2211
Phone (610) 876-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040618001215 PA Part B Supplier - Clinic/Group Practice 5193700706 Receives reassigned benefits from 1 practitioner
Practice locations: Chadds Ford, PA; Brookhaven, PA

National Provider Directory

National Provider Directory

Locations

4000 Edgmont Ave
#1
Brookhaven, PA 19015

1290 Baltimore Pike
Ste 104
Chadds Ford, PA 19317
Phone (610) 459-3048

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1437164597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190152211",
            "telephone_number": "610-876-3500",
            "fax_number": "610-876-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 EDGMONT AVE",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190152211",
            "telephone_number": "610-876-3500",
            "fax_number": "610-876-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT F. CROWELL, D.O., STEVEN J. FISHER, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "610-876-3500"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.