Active NPI
Michael E Crouch MD PA
- Rheumatology Physician
- Salisbury, MD
National Provider Identifier
1861490500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- D26612
- Legal business name
- MICHAEL E CROUCH MD PA
- Practice address
- 105 Pine Bluff Rd
Suite 7
Salisbury, MD 21801-7160 - Phone
- (410) 546-3243
- Fax
- (410) 546-2926
- NPI assigned
- Jul 7, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Edward Crouch, MD
- Title
- President
- Phone
- (410) 546-3243
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | D26612 | MD | Primary |
Addresses
Primary practice location
105 Pine Bluff Rd
Suite 7
Salisbury, MD 21801-7160
Mailing address
105 Pine Bluff Rd
Suite 7
Salisbury, MD 21801-7160
Phone (410) 546-3243
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25952-1400 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
105 Pine Bluff Rd
Ste 7
Salisbury, MD 21801
Phone (410) 546-3243
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Rheumatology Physician
- Salisbury, MD
- NPI 1891976270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1191974400000",
"number": "1861490500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 PINE BLUFF RD",
"address_2": "SUITE 7",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017160",
"telephone_number": "410-546-3243",
"fax_number": "410-546-2926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 PINE BLUFF RD",
"address_2": "SUITE 7",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218017160",
"telephone_number": "410-546-3243",
"fax_number": "410-546-2926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL E CROUCH MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-07",
"last_updated": "2007-10-10",
"status": "A",
"authorized_official_last_name": "CROUCH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "EDWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "410-546-3243",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Rheumatology",
"state": "MD",
"license": "D26612",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "25952-1400",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.