Active NPI
Michael E McCrory, M.D.
- Diagnostic Radiology Physician
- Durham, NC
National Provider Identifier
1720008188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 22006
- Practice address
- 3643 N Roxboro St
Durham, NC 27704-2702 - Phone
- (919) 834-2767
- Fax
- (919) 834-0234
- NPI assigned
- Jul 20, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 22006 | NC | Primary |
Addresses
Primary practice location
3643 N Roxboro St
Durham, NC 27704-2702
Mailing address
4020 Westchase Blvd
Suite 390
Raleigh, NC 27607-3938
Phone (919) 834-2767
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8955930 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22006 | NC | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Durham Radiology Associates, Inc. | Diagnostic Radiology | 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.
-
- Diagnostic Radiology Physician
- Durham, NC
- NPI 1063438513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194307200000",
"number": "1720008188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4020 WESTCHASE BLVD",
"address_2": "SUITE 390",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276073938",
"telephone_number": "919-834-2767",
"fax_number": "919-834-0234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 N ROXBORO ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277042702",
"telephone_number": "919-834-2767",
"fax_number": "919-834-0234"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCRORY",
"first_name": "MICHAEL",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2007-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NC",
"license": "22006",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8955930",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.