Active NPI
Mary Anne Crawford, D.C.
- Chiropractor
- Red Lion, PA
National Provider Identifier
1790708402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC002834L
- Practice address
- 718 S Main St
Red Lion, PA 17356-2605 - Phone
- (717) 244-8504
- Fax
- (717) 244-5401
- NPI assigned
- Jul 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC002834L | PA | Primary |
Addresses
Primary practice location
718 S Main St
Red Lion, PA 17356-2605
Mailing address
718 S Main St
Red Lion, PA 17356-2605
Phone (717) 244-8504
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50041910 | Other | PA | CAPITAL BLUE CROSS |
| 4403296 | Other | PA | AETNA |
Other names 1
- Mary Anne Fuller
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
510 N Main St
Suite B
Red Lion, PA 17356-8778
Phone (717) 244-5555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC002834L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Anne Crawford DC LLC | Chiropractor | Current | Accepting new patients |
| Red Lion Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
| Pennsylvania Comprehensive Behavioral Health Services, LLC | Past | Accepting new patients |
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.
-
- Chiropractor
- Red Lion, PA
- NPI 1831330968
-
- Adolescent and Children Mental Health Clinic/Center
- Red Lion, PA
- NPI 1114980489
-
- Chiropractor
- Red Lion, PA
- NPI 1497785638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206921600000",
"number": "1790708402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "718 S MAIN ST",
"city": "RED LION",
"state": "PA",
"postal_code": "173562605",
"telephone_number": "717-244-8504",
"fax_number": "717-244-5401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "718 S MAIN ST",
"city": "RED LION",
"state": "PA",
"postal_code": "173562605",
"telephone_number": "717-244-8504",
"fax_number": "717-244-5401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MARY",
"middle_name": "ANNE",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2008-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC002834L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "50041910",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4403296",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARY",
"last_name": "FULLER",
"middle_name": "ANNE",
"credential": "D.C.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.