Active NPI
Crosen Medical, LLC
- Specialist
- Anniston, AL
National Provider Identifier
1891110540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 19946
- Legal business name
- CROSEN MEDICAL, LLC
- Practice address
- 1011 Leighton Ave
Anniston, AL 36207-5701 - Phone
- (256) 770-7197
- Fax
- (256) 405-4439
- NPI assigned
- Mar 4, 2014
- 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
- Margaret S Porter, AO
- Title
- Office Manager/ Authorized Official
- Phone
- (256) 770-7197
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 19946 | AL | Primary |
Addresses
Primary practice location
1011 Leighton Ave
Anniston, AL 36207-5701
Mailing address
1011 Leighton Ave
Anniston, AL 36207-5701
Phone (256) 770-7197
Other practice location 1
430 Snow St
Oxford, AL 36203-1263
Phone (256) 832-8802
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051554151 | Medicaid | AL | |
| 1700811072 | Medicaid | AL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1393891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1659916800000",
"number": "1891110540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 LEIGHTON AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075701",
"telephone_number": "256-770-7197",
"fax_number": "256-405-4439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 LEIGHTON AVE",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362075701",
"telephone_number": "256-770-7197",
"fax_number": "256-405-4439"
}
],
"practiceLocations": [
{
"address_1": "430 Snow St",
"address_purpose": "LOCATION",
"city": "Oxford",
"state": "AL",
"postal_code": "362031263",
"country_code": "US",
"telephone_number": "256-832-8802",
"fax_number": "256-832-8877",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "CROSEN MEDICAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-04",
"last_updated": "2022-08-08",
"certification_date": "2022-08-08",
"status": "A",
"authorized_official_last_name": "PORTER",
"authorized_official_first_name": "MARGARET",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OFFICE MANAGER/ AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "256-770-7197",
"authorized_official_credential": "AO"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "AL",
"license": "19946",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051554151",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1700811072",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.