Organization Active NPI

Crosen Medical, LLC

  • Specialist
  • Anniston, AL
National Provider Identifier
1891110540
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
19946 Issued in AL
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

Updated by the provider on Aug 8, 2022

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
051554151MedicaidAL
1700811072MedicaidAL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.