Active NPI
John Everett Crews III, M.D.
- Surgery Physician
- Philadelphia, PA
National Provider Identifier
1629169974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD431004
- Practice address
- 655 W Park LN
Suite 655
Philadelphia, PA 19144-3712 - Phone
- (267) 573-9705
- Fax
- (215) 531-8066
- NPI assigned
- Sep 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | MD431004 | PA | Primary |
Addresses
Primary practice location
655 W Park LN
Suite 655
Philadelphia, PA 19144-3712
Mailing address
655 W Park LN
Suite 655
Philadelphia, PA 19144-3712
Phone (267) 573-9705
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001940161 | Other | PA | BLUE CROSS NE PA |
| 2165989 | Other | PA | UNITED HEALTHCARE |
| 7632300 | Other | PA | AETNA |
| P00759527 | Other | PA | MEDICARE RAILROAD |
| 1018895810001 | Medicaid | PA | |
| 106959 | Other | PA | GEISINGER |
| 821627 | Other | PA | FIRST PRIORITY HEALTH |
| 001955909 | Other | PA | MEDICARE ADVANTAGE PPO |
| 1955909 | Other | PA | BLUE SHIELD |
| 7308884 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070621000207 | PA | Practitioner - General Practice | 9739109521 | Practice locations: Philadelphia, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD431004 | PA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Group Medical Associates, P.C | Surgery | Past | Accepting new patients |
| Sterling Emergency Services of Virginia Inc | Past | Accepting new patients | |
| Ecs of Virginia, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
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- NPI 1821083874
-
- Emergency Medicine Physician
- Farmville, VA
- NPI 1649265604
-
- Diagnostic Radiology Physician
- Brooklyn, NY
- NPI 1285683102
Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408924800000",
"number": "1629169974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W PARK LN",
"address_2": "SUITE 655",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443712",
"telephone_number": "267-573-9705",
"fax_number": "215-531-8066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W PARK LN",
"address_2": "SUITE 655",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191443712",
"telephone_number": "267-573-9705",
"fax_number": "215-531-8066"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CREWS",
"first_name": "JOHN",
"middle_name": "EVERETT",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2014-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD431004",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS NE PA",
"identifier": "001940161",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2165989",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7632300",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00759527",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1018895810001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "106959",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "821627",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ADVANTAGE PPO",
"identifier": "001955909",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "1955909",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7308884",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.