Fred Michael Crouch, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

ME77601 Issued in FL

Practice address

524 SE Osceola St
Suite 100
Stuart, FL 34994-2322

Phone

(772) 419-2379

Fax

(772) 419-2377

NPI assigned

Jun 23, 2006

Last updated

Jun 28, 2012By 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 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Stuart Cardiovascular Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Stuart, FL
  • NPI 1366487878
  NPD
• Venice Cardiovascular Anesthesia Associates PLLC

  • Anesthesiology Physician
  • Venice, FL
  • NPI 1043253826
  NPD (past)
• Venice Cardiovascular Associates PL

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Venice, FL
  • NPI 1316982473
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1558397497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3130",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344783130",
            "telephone_number": "352-867-8311",
            "fax_number": "352-867-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 SE OSCEOLA ST",
            "address_2": "SUITE 100",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942322",
            "telephone_number": "772-419-2379",
            "fax_number": "772-419-2377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "FRED",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME77601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO",
            "identifier": "44862B",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "44862",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "256527700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMO",
            "identifier": "44862A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hannah Elizabeth Croll
• Abbey C Crook
• Jessica M. Crosby, L.M.T.
• Mary Beth Cross, OTR
• Liberty A Crouch-Taylor
• Stephanie Crowe
• Ava Drew Crowley
• Kayla Crowley
• Diana M Croxton, RD
• Jazmin Guadalupe Cruz Bolanos

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Stuart, FL
• Providers in Stuart, FL by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.