Colie E Crutcher MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

17070 Issued in AL

Legal business name

COLIE E CRUTCHER MD

Practice address

754 Derby Dr
York, AL 36925-2122

Phone

(205) 392-5350

Fax

(205) 392-4821

NPI assigned

Oct 24, 2006

Last updated

Sep 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Gladys B Eddie

Title

Office Manager

Phone

(205) 392-5350

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Colie Crutcher, MD

  • Specialist
  • York, AL
  • NPI 1407967771
  NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1750465126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 DERBY DR",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252122",
            "telephone_number": "205-392-5350",
            "fax_number": "205-392-4821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 DERBY DR",
            "city": "YORK",
            "state": "AL",
            "postal_code": "369252122",
            "telephone_number": "205-392-5350",
            "fax_number": "205-392-4821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLIE E CRUTCHER MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "EDDIE",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "205-392-5350",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "17070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529503840",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colie Crutcher, MD
• Lee Edward Davis Jr.
• James Phillips Gentry, PHARMD
• Gibbs Comprehensive Care, LLC (Comprehensive Care Behavioral Health)
• Michael Nolan Gordon, MD

• Specialist in York, AL
• Providers in York, AL by specialty
• Specialist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.