Active NPI
Micah Shawn Crouse, M.D.
- Family Medicine Physician
- Winchester, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 0116018898
- Practice address
- 1940 Taylor Dr Apt 6
Winchester, VA 22601-6338 - Phone
- (440) 263-4190
- NPI assigned
- Jul 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0116018898 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 35 093481 | OH |
Addresses
Primary practice location
1940 Taylor Dr Apt 6
Winchester, VA 22601-6338
Mailing address
1940 Taylor Dr Apt 6
Winchester, VA 22601-6338
Phone (440) 263-4190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2956449 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, VA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300
Hospital & facility affiliations
- Warren Memorial Hospital
- Valor Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35 093481 | OH | MD | Emergency Medicine Physician |
| 0116018898 | VA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Mid-Ohio Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Warren Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Page Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Page Memorial Hospital, Inc. | Current | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Current | Accepting new patients | |
| Warren Memorial Hospital, Inc. | Emergency Medicine | Current | Accepting new patients |
| Walter Knox Memorial Hospital | Current | Accepting new patients | |
| Walter Knox Memorial Hospital | Family Medicine | Current | Accepting new patients |
| Marion General Hospital Foundation, Inc. | Emergency Medicine | Past | Accepting new patients |
| Walter Knox Memorial Hospital | Past | Accepting new patients | |
| Shenandoah Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
1202 E Locust St
Emmett, ID 83617
Phone (208) 365-2338
1720 Ohiohealth Way
Ashland, OH 44805
Phone (567) 309-4000
335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320
1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000
199 W Main St
Shelby, OH 44875
Phone (419) 342-5015
1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300
351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300
200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561
220 Campus Blvd
Ste 320
Winchester, VA 22601
240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
- mcrouse329194@valleyhealth.direct-ci.com
Organizations & group practices 15
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medicine Physician
- Front Royal, VA
- NPI 1164442281
-
- Critical Access Hospital
- Luray, VA
- NPI 1326040684
-
- Rural Health Clinic/Center
- Woodstock, VA
- NPI 1952417735
-
- Emergency Medicine Physician
- Mansfield, OH
- NPI 1881164010
-
- Critical Access Hospital
- Emmett, ID
- NPI 1063419018
-
- Rural Health Clinic/Center
- Front Royal, VA
- NPI 1083236970
Family Medicine
-
- Critical Access Hospital
- Woodstock, VA
- NPI 1033166442
-
- Family Medicine Physician
- Strasburg, VA
- NPI 1710494331
-
- General Acute Care Hospital
- Front Royal, VA
- NPI 1427085232
-
- Obstetrics & Gynecology Physician
- Front Royal, VA
- NPI 1538654991
-
- Specialist
- Emmett, ID
- NPI 1326206947
-
- Rural Health Clinic/Center
- Emmett, ID
- NPI 1821091083
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Front Royal, VA
- NPI 1427085232
-
- Critical Access Hospital
- Emmett, ID
- NPI 1063419018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272240000000",
"number": "1992903306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1940 TAYLOR DR APT 6",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016338",
"telephone_number": "440-263-4190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 TAYLOR DR APT 6",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016338",
"telephone_number": "440-263-4190"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROUSE",
"first_name": "MICAH",
"middle_name": "SHAWN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-06",
"last_updated": "2010-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0116018898",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "35 093481",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2956449",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.