Jason Michael Crouch in Chandler - Family Medicine
Jason Michael Crouch - NPI 1497890115
Jason Michael Crouch is a Family Medicine in Chandler, Oklahoma. Jason Michael Crouch practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jason Michael Crouch is 1497890115. The last update date is 2013-03-04.
Jason Michael Crouch's current location address is 806 Manvel Ave, Chandler, Oklahoma. You can contact this provider via phone number 4052589955 and fax number 4052589930. The mailing address for Jason Michael Crouch is 806 Manvel Ave, Chandler, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Michael Crouch |
|---|---|
| Address | 806 Manvel Ave, Chandler, Oklahoma |
| Phone Number | 4052589955 |
| Fax Number | 4052589930 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1497890115 |
|---|---|
| Provider Enumeration Date | 2007-02-20 |
| Last Updated Date | 2013-03-04 |
Provider Mailing Address Detail
| Address | 806 Manvel Ave |
|---|---|
| City | Chandler |
| State | Oklahoma (OK) |
| Post Code | 748343858 |
| Phone Number | 4052589955 |
| Fax Number | 4052589930 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4290 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200116510 A | OK | MEDICAID # FOR CROUCH FAMILY M | |
| 37D1067992 | CLIA # FOR CROUCH FAMILY MEDIC | ||
| 9060050 | AETNA PIN | ||
| 1618242 | COVENTRY HEALTH CARE PROVIDER | ||
| 200116510A | OK | -- | |
| 6147210001 | DURABLE MEDICAL EQUIPMENT (DME | ||
| P00465778 | RAILROAD MEDICARE PT B PTAN | ||
| 200116520A | OK | -- | |
| 300522328 | MEDICARE # FOR CROUCH FAMILY M | ||
| DG9878 | RAILROAD MEDICARE PT B GROUP N |
Post Comment/ Review Below
What is the unique identifier code issued to Jason Michael Crouch by the Centers for Medicare & Medicaid Services?
The Jason Michael Crouch has been assigned the NPI (National Provider Identifier) 1497890115. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jason Michael Crouch's facilities are situated?
The facilities of Jason Michael Crouch are physically located at the following address: 806 Manvel Ave, Chandler, OK, 748343858.
What is the Jason Michael Crouch's area of specialization and corresponding taxonomy classification?
The Jason Michael Crouch's specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497890115 to Jason Michael Crouch?
The Centers for Medicare & Medicaid Services originally issued the 1497890115 to Jason Michael Crouch on 2007-02-20.
When was the information regarding Jason Michael Crouch most recently updated?
The details pertaining to the Jason Michael Crouch, including its address, specialty, and other relevant information, were last refreshed on 2013-03-04.
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