Charles David Crouse II, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

0101236620 Issued in VA

Practice address

1524 Apperson Dr
Salem, VA 24153-7219

Phone

(434) 989-5281

NPI assigned

Dec 21, 2005

Last updated

Jan 21, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Roanoke Valley Ear, Nose, and Throat, P.C.

  • Otolaryngology Physician
  • Salem, VA
  • NPI 1184956765
  NPD (past) Authorized official
• The Center for Dizziness and Balance Disorders, P.C.

  • Otology & Neurotology Physician
  • Salem, VA
  • NPI 1841522430
  NPD (past) Authorized official
• Norton Community Physician Services LLC

  • Internal Medicine Physician
  • Pennington Gap, VA
  • NPI 1841098175
  NPD (past)
• Norton Community Physician Services LLC

  • Internal Medicine Physician
  • Norton, VA
  • NPI 1861674160

  Otolaryngology

  NPD (past)

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1851377857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 APPERSON DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 APPERSON DR",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537219",
            "telephone_number": "434-989-5281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "CHARLES",
        "middle_name": "DAVID",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101236620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM AND HEALTHKEEPERS",
            "identifier": "183014",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00276841",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE OF VIRGINIA",
            "identifier": "10-01813",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI HEALTH PLANS",
            "identifier": "3123459",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "316948",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010079624",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RIVER VALLEY",
            "identifier": "TN0113",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA PREMIER (MEDICAID HMO)",
            "identifier": "010079624",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "7432600",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Creative Counseling, LLC
• Katelyn Creedon, LCSW
• Susan Luella Crockett
• Tonya S Crockett
• Lee Michael Cross, MD
• Kimberly F Crowder, R.T.R
• Nicole Crowder, FNP
• Rasheeda Nimot Crowder, LCSW
• Mitchell Simpson Crowe, DO
• Adrian Cruz-Lemus, LMT

• Otolaryngology Physician in Salem, VA
• Providers in Salem, VA by specialty
• Otolaryngology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.