Michael Edward Critchlow, M. D.
Individual provider Active NPI Internal Medicine Physician · Sikeston, MO
NPI 1720079841 · NPPES record last updated May 18, 2010
Key facts
- NPI
- 1720079841
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R8486 (MO)
- Practice address
- 1012 N Main St
Sikeston, MO 63801-5044 - Phone
- (573) 471-0330
- Fax
- (573) 472-2966
- NPI assigned
- Oct 31, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25720 | MO | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Francis Medical Center | Current | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients | |
| Michael E. Critchlow | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 25720 | MO | |
| Internal Medicine Physician | 207R00000X | R8486 | MO | Yes |
Addresses
Primary practice location
1012 N Main St
Sikeston, MO 63801-5044
Mailing address
1012 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-0330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200384220 | Medicaid | MO |
Other providers in Sikeston, MO
- Samuel Thomas Cox
- Kylie Suzanne Crader
- Crain Moxey Pharm Inc
- Karen Crane
- Christopher Creecy
- Crossroads Isl, LLC
- Crossroads Isl, LLC
- Crossroads Isl, LLC
- Sarah H Curry
- David Dahlbeck
All providers in Sikeston, MO · Internal Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.