Active NPI
Anja Crider, MD
- Obstetrics & Gynecology Physician
- Federal Way, WA
National Provider Identifier
1760417885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00033511
- Practice address
- 900 S 336TH St
Federal Way, WA 98003-6311 - Phone
- (253) 237-0610
- Fax
- (253) 237-0606
- NPI assigned
- Jul 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00033511 | WA | Primary |
Addresses
Primary practice location
900 S 336TH St
Federal Way, WA 98003-6311
Mailing address
900 S 336TH St
Federal Way, WA 98003-6311
Phone (253) 237-0610
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0196394 | Other | WA | L & I |
| 0226420 | Other | WA | L & I |
| 8905614 | Other | WA | CRIME VICTIMS |
| 8943711 | Other | WA | CRIME VICTIMS |
| P00288822 | Other | WA | RAILROAD |
| 0226421 | Other | WA | L & I |
| 8422057 | Medicaid | WA | |
| 8945690 | Other | WA | CRIME VICTIMS |
| 0217751 | Other | WA | L & I |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tufts University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2517 N Washington St
Tacoma, WA 98406-5841
Phone (253) 759-3586
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Personal MD, PLLC | Current | Accepting new patients | |
| Synergy Health | Current | Accepting new patients | |
| Synergy Health | Current | Accepting new patients |
Locations
900 S 336th St
Federal Way, WA 98003
Phone (253) 942-3303
2517 N Washington St
Tacoma, WA 98406
Phone (253) 468-7584
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Physician
- Federal Way, WA
- NPI 1578830758
-
- Gynecology Physician
- Tacoma, WA
- NPI 1982945614
-
- Internal Medicine Physician
- Tacoma, WA
- NPI 1649872680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1760417885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 S 336TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036311",
"telephone_number": "253-237-0610",
"fax_number": "253-237-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 S 336TH ST",
"city": "FEDERAL WAY",
"state": "WA",
"postal_code": "980036311",
"telephone_number": "253-237-0610",
"fax_number": "253-237-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIDER",
"first_name": "ANJA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-11",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00033511",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0196394",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0226420",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8905614",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8943711",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD",
"identifier": "P00288822",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0226421",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8422057",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8945690",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "L & I",
"identifier": "0217751",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Federal Way, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.