NPIMap

Organization Active NPI

Kevin Crouse, MD PC

  • MOHS-Micrographic Surgery Physician
  • Kingston, PA
National Provider Identifier
1871785683
Registry record updated Dec 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
MD044097L Issued in PA
Legal business name
KEVIN CROUSE, MD PC
Practice address
250 Pierce St Ste 217
Kingston, PA 18704-5149
Phone
(570) 714-8614
NPI assigned
Aug 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2009

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

Authorized official

Name
Ellen Crouse
Title
Office Manager
Phone
(570) 714-8614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ND0101X MD044097L PA Primary

Addresses

Primary practice location

250 Pierce St Ste 217
Kingston, PA 18704-5149

Mailing address

250 Pierce St Ste 217
Kingston, PA 18704-5149

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1871785683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST STE 217",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 PIERCE ST STE 217",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045149",
            "telephone_number": "570-714-8614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN CROUSE, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-15",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "CROUSE",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "570-714-8614"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "PA",
            "license": "MD044097L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.