Active NPI
Michael Ellis Crawford
- Counselor
- Wagoner, OK
National Provider Identifier
1740539097
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Mar 19, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 33800 E 750 Rd
16B
Wagoner, OK 74467-9348 - Phone
- (918) 201-4154
- NPI assigned
- Sep 2, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | OK | Primary |
Addresses
Primary practice location
33800 E 750 Rd
16B
Wagoner, OK 74467-9348
Mailing address
33800 E 750 Rd
16B
Wagoner, OK 74467-9348
Phone (918) 201-4154
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346544000000",
"number": "1740539097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33800 E 750 RD",
"address_2": "16B",
"city": "WAGONER",
"state": "OK",
"postal_code": "744679348",
"telephone_number": "918-201-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33800 E 750 RD",
"address_2": "16B",
"city": "WAGONER",
"state": "OK",
"postal_code": "744679348",
"telephone_number": "918-201-4154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MICHAEL",
"middle_name": "ELLIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-09-02",
"last_updated": "2012-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wagoner, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.