Keith Thomas Crocker in Grand Rapids - Orthopaedic Surgery
Keith Thomas Crocker - NPI 1871597419
Keith Thomas Crocker is a Orthopaedic Surgery in Grand Rapids, Michigan. Keith Thomas Crocker practices all healthcare services and medical treatments related to Orthopaedic Surgery. The NPI Number for Keith Thomas Crocker is 1871597419. The last update date is 2007-12-05.
Keith Thomas Crocker's current location address is 4300 Cascade Rd Se, Grand Rapids, Michigan. You can contact this provider via phone number 6162454513 and fax number 6162454802. The mailing address for Keith Thomas Crocker is 4300 Cascade Rd Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Keith Thomas Crocker |
|---|---|
| Address | 4300 Cascade Rd Se, Grand Rapids, Michigan |
| Phone Number | 6162454513 |
| Fax Number | 6162454802 |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1871597419 |
|---|---|
| Provider Enumeration Date | 2005-06-10 |
| Last Updated Date | 2007-12-05 |
Provider Mailing Address Detail
| Address | 4300 Cascade Rd Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 4954636310 |
| Phone Number | 6162454513 |
| Fax Number | 6162454802 |
Provider's Primary Taxonomy Detail
| Speciality | Orthopaedic Surgery |
|---|---|
| Taxonomy | 207X00000X |
| Licence No | 5101007635 |
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Definition: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the car |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P54539 | MI | BCN | |
| 1683584 | MI | -- | |
| 5413102 | MI | BCBSM |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Keith Thomas Crocker by the Centers for Medicare & Medicaid Services?
The Keith Thomas Crocker has been issued the NPI (National Provider Identifier) 1871597419 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Keith Thomas Crocker is located?
The Keith Thomas Crocker is situated at the following address: 4300 Cascade Rd Se, Grand Rapids, MI, 4954636310.
What is Keith Thomas Crocker's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Keith Thomas Crocker is Orthopaedic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207X00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1871597419 to Keith Thomas Crocker?
The Centers for Medicare & Medicaid Services originally issued the 1871597419 to Keith Thomas Crocker on 2005-06-10.
As of what date were the details related to Keith Thomas Crocker most recently updated or revised?
The information pertaining to Keith Thomas Crocker, including its address, specialty, and other relevant details, was last updated or revised on 2007-12-05.