Memory E Crowley, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0S5877 Issued in FL

Practice address

1135 Lake Ave
Clermont, FL 34711

Phone

(352) 394-4035

Fax

(352) 241-0896

NPI assigned

Oct 4, 2006

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Clermont Medical Center PA

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1861557357
  Medicare reassignment NPD
• The Community Health Education and Assistance Program, Inc.

  • Community Health Worker
  • Clermont, FL
  • NPI 1104773829
  Medicare reassignment

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279152000000",
    "number": "1851486047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121009",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34712",
            "telephone_number": "352-394-4035",
            "fax_number": "352-241-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 LAKE AVE",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "34711",
            "telephone_number": "352-394-4035",
            "fax_number": "352-241-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "MEMORY",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "0S5877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801105381",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristina Lynn Creinin, ATC, LAT, CES
• Channing Heavenor Creveling, MA CCC-SLP LLC
• Corey Cross
• Crossing the Bridge, Counseling Services, L.L.C.
• Crossingbridges, Counseling Services, Inc.
• Wendilys Cruz Fontanez, MSN, APRN, FNP-C
• Cruz Homecare & Educational Services
• Cruz Lovin Care LLC
• Cruz Medical and Wellness Services LLC
• Cruz Medical Services LLC

• Family Medicine Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; 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.

Verify at the official NPI Registry.