Individual provider Active NPI

Michael E Crawford, MD

  • Interventional Cardiology Physician
  • Ogden, UT
National Provider Identifier
1699760397
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
323415-1205 Issued in UT
Practice address
5405 S 500 E
Suite #204
Ogden, UT 84405-6957
Phone
(801) 479-0184
Fax
(801) 479-5642
NPI assigned
Sep 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 323415-1205 UT
Interventional Cardiology Physician 207RI0011X 323415-1205 UT Primary

Addresses

Primary practice location

5405 S 500 E
Suite #204
Ogden, UT 84405-6957

Mailing address

520 Medical Dr
Suite #310
Bountiful, UT 84010-4968
Phone (801) 397-3000

Other identifiers 1

IdentifierTypeStateIssuer
1477643179OtherUTGROUP NPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.crawford@direct.imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040610000909 UT Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 5799768768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Medical University of South Carolina College of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

4403 Harrison Blvd
Suite 3490
Ogden, UT 84403-3284
Phone (801) 387-2650

Hospital & facility affiliations

  • Intermountain Health Logan Regional Hospital Hospital, Logan, UT, CCN 460015
  • Bear River Valley Hospital Hospital, Tremonton, UT, CCN 460039
  • Intermountain Health McKay-Dee Hospital Hospital, Ogden, UT, CCN 460004
  • Bear Lake Memorial Hospital Hospital, Montpelier, ID, CCN 131316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc CurrentSince Apr 1, 2015 Accepting new patients
Ihc Health Services Inc Cardiovascular Disease CurrentSince Apr 1, 2015 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Mountainstar Cardiology St Marks LLC Interventional Cardiology Past Accepting new patients
Ogden Reg Med CNTR Professional Billing LLC Cardiovascular Disease Past Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1300 N 500 E
Ste 320
North Logan, UT 84341
Phone (435) 716-2200

1400 N 500 E
North Logan, UT 84341
Phone (435) 716-1000

4403 Harrison Blvd
Ste 3490
Ogden, UT 84403
Phone (801) 387-2650

5475 S 500 E
South Ogden, UT 84405
Phone (801) 479-2111

4401 Harrison Blvd
South Ogden, UT 84403
Phone (801) 387-2800

1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992

1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1699760397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR",
            "address_2": "SUITE #310",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840104968",
            "telephone_number": "801-397-3000",
            "fax_number": "801-397-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 S 500 E",
            "address_2": "SUITE #204",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844056957",
            "telephone_number": "801-479-0184",
            "fax_number": "801-479-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "MICHAEL",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "UT",
            "license": "323415-1205",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "UT",
            "license": "323415-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1477643179",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.crawford@direct.imail.org",
            "affiliation": "N",
            "address_1": "5405 S 500 E",
            "address_2": "Suite #204",
            "city": "Ogden",
            "state": "UT",
            "country_code": "US",
            "postal_code": "844056957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

Verify at the official NPI Registry.