Active NPI
Justin David McCrory, DO
- Emergency Medicine Physician
- Meadville, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS023410
- Practice address
- 751 Liberty St
Meadville, PA 16335-2559 - Phone
- (814) 333-5000
- NPI assigned
- Apr 11, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | OS023410 | PA | Primary |
Addresses
Primary practice location
751 Liberty St
Meadville, PA 16335-2559
Mailing address
3600 Forbes Ave Ste 140
Pittsburgh, PA 15213-3410
Phone (412) 647-6340
Other practice location 1
201 State St
Erie, PA 16550-0002
Phone (814) 877-2594
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
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
751 Liberty St
Meadville, PA 16335-2559
Phone (814) 333-5081
Hospital & facility affiliations
- Meadville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS023410 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadville Medical Center | Current | Accepting new patients | |
| Meadville Medical Center | Emergency Medicine | Current | Accepting new patients |
| Meadville Clinical Pathologists, Inc | Current | Accepting new patients |
Locations
751 Liberty St
Meadville, PA 16335
Phone (814) 333-5081
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
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.
-
- Multi-Specialty Clinic/Center
- Meadville, PA
- NPI 1629633573
Emergency Medicine
-
- Anatomic Pathology & Clinical Pathology Physician
- Meadville, PA
- NPI 1528048436
-
- Substance Use Disorder Rehabilitation Hospital Unit
- Meadville, PA
- NPI 1639067804
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Meadville, PA
- NPI 1942276423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1699417691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FORBES AVE STE 140",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152133410",
"telephone_number": "412-647-6340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 LIBERTY ST",
"city": "MEADVILLE",
"state": "PA",
"postal_code": "163352559",
"telephone_number": "814-333-5000"
}
],
"practiceLocations": [
{
"address_1": "201 State St",
"address_purpose": "LOCATION",
"city": "Erie",
"state": "PA",
"postal_code": "165500002",
"country_code": "US",
"telephone_number": "814-877-2594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCRORY",
"first_name": "JUSTIN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-11",
"last_updated": "2025-04-17",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS023410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meadville, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.