Organization Active NPI

Michaele a. Crawford, DPM, LLC

  • Podiatrist
  • Butler, PA
National Provider Identifier
1699743138
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
MICHAELE A. CRAWFORD, DPM, LLC
Practice address
164 Point PLZ
Suite 203
Butler, PA 16001-2540
Phone
(724) 282-0900
Fax
(724) 284-1233
NPI assigned
Mar 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Authorized official

Name
Dr. Michaele A Crawford, DPMNPI 1134127798
Title
Owner
Phone
(724) 282-0900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

164 Point PLZ
Suite 203
Butler, PA 16001-2540

Mailing address

164 Point PLZ
Suite 203
Butler, PA 16001-2540
Phone (724) 282-0900

Other identifiers 10

IdentifierTypeStateIssuer
7745378OtherPAAETNA
101193236MedicaidPA
1632058OtherPAHIGHMARK GROUP#
SC004652ROtherPACHAMPUS
3106973OtherPAUSHC
DC0486OtherPARAILROAD MEDICARE #
243148OtherPAHEALTH AMERICA GROUP#
130053OtherPAUNISON GROUP#
1538599OtherPAGATEWAY GROUP#
303675OtherPAUPMC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040927000459 PA Part B Supplier - Clinic/Group Practice 5890764922 Receives reassigned benefits from 1 practitioner
Practice locations: Butler, PA
O20100930096871 PA DME Supplier - Physician - Podiatry 5890764922 Practice locations: Butler, PA

National Provider Directory

National Provider Directory

Locations

164 Point Plz
Ste 203
Butler, PA 16001
Phone (724) 282-0900

164 Point Plz
Butler, PA 16001
Phone (724) 282-0900

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1699743138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 POINT PLZ",
            "address_2": "SUITE 203",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012540",
            "telephone_number": "724-282-0900",
            "fax_number": "724-284-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 POINT PLZ",
            "address_2": "SUITE 203",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160012540",
            "telephone_number": "724-282-0900",
            "fax_number": "724-284-1233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAELE A. CRAWFORD, DPM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-10",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MICHAELE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "724-282-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7745378",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101193236",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK GROUP#",
            "identifier": "1632058",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "SC004652R",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "3106973",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE #",
            "identifier": "DC0486",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA GROUP#",
            "identifier": "243148",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON GROUP#",
            "identifier": "130053",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY GROUP#",
            "identifier": "1538599",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "303675",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.