Organization Active NPI

Ben M Crowder Mdpa

  • Ophthalmology Physician
  • Winter Haven, FL
National Provider Identifier
1750604906
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0011636 Issued in FL
Legal business name
BEN M CROWDER MDPA
Practice address
400 E Central Ave
Winter Haven, FL 33880-3050
Phone
(863) 299-1161
Fax
(863) 299-8677
NPI assigned
Mar 2, 2010
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Authorized official

Name
Dr. Ben M Crowder, M.D.
Title
President/Owner
Phone
(863) 299-1161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X ME0011636 FL Primary

Addresses

Primary practice location

400 E Central Ave
Winter Haven, FL 33880-3050

Mailing address

400 E Central Ave
Winter Haven, FL 33880-3050
Phone (863) 299-1161

National Provider Directory

National Provider Directory

Locations

400 E Central Ave
Winter Haven, FL 33880
Phone (863) 299-1161

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1750604906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803050",
            "telephone_number": "863-299-1161",
            "fax_number": "863-299-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E CENTRAL AVE",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338803050",
            "telephone_number": "863-299-1161",
            "fax_number": "863-299-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEN M CROWDER MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "CROWDER",
        "authorized_official_first_name": "BEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "863-299-1161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0011636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; 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.