Derrick Crass, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

2014006254 Issued in MO

Practice address

333 S Kirkwood Rd
Saint Louis, MO 63122-6161

Phone

(314) 909-1666

Fax

(314) 909-7406

NPI assigned

Mar 3, 2014

Last updated

Mar 3, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Center for Advanced Foot & Ankle Surgery, Inc.

  dba Missouri Foot and Ankle

  • Foot & Ankle Surgery Podiatrist
  • Saint Louis, MO
  • NPI 1851923023
  NPD (past)
• Doctors on the Go LLC

  • Internal Medicine Physician
  • Olivette, MO
  • NPI 1134532419
  NPD (past)
• Doctors on the Go1 L.C

  • General Practice Physician
  • Olivette, MO
  • NPI 1306296447
  NPD (past)
• Livewell Centers LTD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Belleville, IL
  • NPI 1750793113
  NPD (past)

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1497170278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 JUNIATA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631163911",
            "telephone_number": "414-350-1015",
            "fax_number": "314-909-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S KIRKWOOD RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631226161",
            "telephone_number": "314-909-1666",
            "fax_number": "314-909-7406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASS",
        "first_name": "DERRICK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2014006254",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MO",
            "license": "2014006254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise L Crannage, RPH
• Erica F Crannage, PHARM.D.
• Cranwell Chiropractic
• Richard Wayne Cranwell, D.C.
• John Jeffrey Cras, MD
• Latisha Janee Crate
• Angela Craven, BCBA, LBA
• Jeffrey L Craver, MD
• Adrienne Beard Crawford
• Armon R Crawford, R.PH

• Physician Assistant in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Physician Assistant in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2014; 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.