Active NPI
Michael Joe Crawford, P.A.
- Surgical Physician Assistant
- Norman, OK
National Provider Identifier
1689097339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2315
- Practice address
- 4217 28TH Ave NW Ste 111
Norman, OK 73069-8358 - Phone
- (405) 310-4211
- Fax
- (405) 857-7215
- NPI assigned
- Jan 31, 2014
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 2315 | OK | Primary |
Addresses
Primary practice location
4217 28TH Ave NW Ste 111
Norman, OK 73069-8358
Mailing address
825 E Robinson St
Norman, OK 73071-6610
Phone (405) 364-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 338834YWKN | Other | OK | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140408000881 | OK | Practitioner - Physician Assistant | 6709018609 |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3400 E Tecumseh Rd
Suite 101
Norman, OK 73072-1810
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2315 | OK | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ortho Central | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ambulatory Surgical Clinic/Center
- Norman, OK
- NPI 1508404922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696377600000",
"number": "1689097339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 E ROBINSON ST",
"city": "NORMAN",
"state": "OK",
"postal_code": "730716610",
"telephone_number": "405-364-7900",
"fax_number": "405-310-6866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4217 28TH AVE NW STE 111",
"city": "NORMAN",
"state": "OK",
"postal_code": "730698358",
"telephone_number": "405-310-4211",
"fax_number": "405-857-7215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MICHAEL",
"middle_name": "JOE",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-01-31",
"last_updated": "2023-10-04",
"certification_date": "2023-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OK",
"license": "2315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "338834YWKN",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.