Organization Active NPI

David S Crow MD PHD LLC

  • Otolaryngology/Facial Plastic Surgery Physician
  • Wailuku, HI
National Provider Identifier
1982822862
Registry record updated Feb 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
MD-11100 Issued in HI
Legal business name
DAVID S CROW MD PHD LLC
Practice address
1830 Wells St
Suite 103
Wailuku, HI 96793-2365
Phone
(808) 244-4910
Fax
(808) 244-1295
NPI assigned
Apr 23, 2007
Last updated
Feb 4, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2011

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

Authorized official

Name
Dr. David Scott Crow, M.D.NPI 1811936925
Title
Owner
Phone
(808) 244-4910

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Otolaryngology Physician 207YP0228X MD-11100 HI
Facial Plastic Surgery Physician 207YS0123X MD-11100 HI
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X MD-11100 HI
Otolaryngic Allergy Physician 207YX0602X MD-11100 HI
Otology & Neurotology Physician 207YX0901X MD-11100 HI
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X MD-11100 HI Primary

Addresses

Primary practice location

1830 Wells St
Suite 103
Wailuku, HI 96793-2365

Mailing address

1830 Wells St
Suite 103
Wailuku, HI 96793-2365
Phone (808) 244-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040310001006 HI Part B Supplier - Clinic/Group Practice 3375431232 Receives reassigned benefits from 3 practitioners
Practice locations: Wailuku, HI

National Provider Directory

National Provider Directory

Locations

71 Kanoa St
Ste 101
Wailuku, HI 96793
Phone (808) 244-5999

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1982822862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST",
            "address_2": "SUITE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-244-4910",
            "fax_number": "808-244-1295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 WELLS ST",
            "address_2": "SUITE 103",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932365",
            "telephone_number": "808-244-4910",
            "fax_number": "808-244-1295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID S CROW MD PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "CROW",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-244-4910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "HI",
            "license": "MD-11100",
            "primary": false
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "HI",
            "license": "MD-11100",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "HI",
            "license": "MD-11100",
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "HI",
            "license": "MD-11100",
            "primary": false
        },
        {
            "code": "207YX0901X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "HI",
            "license": "MD-11100",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "HI",
            "license": "MD-11100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.

Verify at the official NPI Registry.