Active NPI
Michael D Crawford, M.D.
- Otolaryngology Physician
- Roanoke Rapids, NC
National Provider Identifier
1790781698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 31262
- Practice address
- 215 Smith Church Rd
Roanoke Rapids, NC 27870-4913 - Phone
- (252) 535-2311
- Fax
- (252) 937-4103
- NPI assigned
- Jun 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 31262 | NC | Primary |
| Otolaryngic Allergy Physician | 207YX0602X | 31262 | NC |
Addresses
Primary practice location
215 Smith Church Rd
Roanoke Rapids, NC 27870-4913
Mailing address
1600 Perimeter Park Dr
Suite 225
Morrisville, NC 27560-8421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8925402 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31262 | NC | MD | Otolaryngic Allergy Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Wound Specialists of North Carolina, PLLC | Otolaryngology | Current | Accepting new patients |
| Carolina Wound Care Specialists, PLLC | Current | Accepting new patients | |
| Carolina Otolaryngology Consultants PA | Past | Accepting new patients |
Locations
425 Huehl Rd
Bldg 8
Northbrook, IL 60062
Phone (847) 754-4780
35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376
101 Nash Medical Arts Mall
Rocky Mount, NC 27804
Phone (252) 451-6950
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.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Rocky Mount, NC
- NPI 1942445762
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Pinehurst, NC
- NPI 1558666776
Otolaryngology
-
- Specialist
- Zebulon, NC
- NPI 1235398173
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1790781698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 PERIMETER PARK DR",
"address_2": "SUITE 225",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "275608421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 SMITH CHURCH RD",
"city": "ROANOKE RAPIDS",
"state": "NC",
"postal_code": "278704913",
"telephone_number": "252-535-2311",
"fax_number": "252-937-4103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "MICHAEL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-24",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NC",
"license": "31262",
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "NC",
"license": "31262",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8925402",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roanoke Rapids, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.