Organization Active NPI

Carolina Otolaryngology Consultants PA

  • Otolaryngic Allergy Physician
  • Roanoke Rapids, NC
National Provider Identifier
1740463454
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
Legal business name
CAROLINA OTOLARYNGOLOGY CONSULTANTS PA
Practice address
215 Smith Church Rd
Roanoke Rapids, NC 27870-4913
Phone
(252) 535-2311
NPI assigned
Dec 17, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
CAROLINA OTOLARYNGOLOGY CONSULTANTS PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. Michael D Crawford, M.D.NPI 1790781698
Title
President
Phone
(252) 937-4100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X Primary

Addresses

Primary practice location

215 Smith Church Rd
Roanoke Rapids, NC 27870-4913

Mailing address

804 English Rd
Suite 200
Rocky Mount, NC 27804-6032
Phone (252) 937-4100

Other identifiers 1

IdentifierTypeStateIssuer
8901256MedicaidNC

National Provider Directory

National Provider Directory
Part of
Carolina Oto Consult

Locations

804 English Rd
Ste 200
Rocky Mount, NC 27804
Phone (252) 937-4100

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1740463454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 ENGLISH RD",
            "address_2": "SUITE 200",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278046032",
            "telephone_number": "252-937-4100",
            "fax_number": "252-937-4103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 SMITH CHURCH RD",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278704913",
            "telephone_number": "252-535-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINA OTOLARYNGOLOGY CONSULTANTS PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROLINA OTOLARYNGOLOGY CONSULTANTS PA",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "252-937-4100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8901256",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.