Paul D Croissant, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

4301029245 Issued in MI

Practice address

44555 Woodward Ave Ste 307
Pontiac, MI 48341-5035

Phone

(248) 484-5303

Fax

(488) 585-8692

NPI assigned

Jan 17, 2006

Last updated

Mar 24, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Neurosurgical Services of Oakland

  • Neurological Surgery Physician
  • Pontiac, MI
  • NPI 1275156994
  Authorized official Same address or phone

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1699754754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 307",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415035",
            "telephone_number": "248-484-5303",
            "fax_number": "488-585-8692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44555 WOODWARD AVE STE 307",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483415035",
            "telephone_number": "248-484-5303",
            "fax_number": "488-585-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROISSANT",
        "first_name": "PAUL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "4301029245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ATHENA",
            "affiliation": "N",
            "address_1": "44555 Woodward Ave Ste 307",
            "city": "Pontiac",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483415035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nikkole Machelle Crane
• Mary A Crawford
• Toye L Crawford
• Alisa Cretu
• Susan Crim
• Antwan Croom
• Ashley Crowder, MA, LLPC
• Carly Elizabeth Crull
• Atnita Crump
• Wendy R Crusoe

• Neurological Surgery Physician in Pontiac, MI
• Providers in Pontiac, MI by specialty
• Neurological Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.

Verify at the official NPI Registry.