Provider Demographics
NPI:1699743138
Name:MICHAELE A. CRAWFORD, DPM, LLC
Entity type:Organization
Organization Name:MICHAELE A. CRAWFORD, DPM, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAELE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:724-282-0900
Mailing Address - Street 1:164 POINT PLZ
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-2540
Mailing Address - Country:US
Mailing Address - Phone:724-282-0900
Mailing Address - Fax:724-284-1233
Practice Address - Street 1:164 POINT PLZ
Practice Address - Street 2:SUITE 203
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-2540
Practice Address - Country:US
Practice Address - Phone:724-282-0900
Practice Address - Fax:724-284-1233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-10
Last Update Date:2024-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7745378OtherAETNA
PA101193236Medicaid
PA1632058OtherHIGHMARK GROUP#
PASC004652ROtherCHAMPUS
PA3106973OtherUSHC
PADC0486OtherRAILROAD MEDICARE #
PA243148OtherHEALTH AMERICA GROUP#
PA130053OtherUNISON GROUP#
PA1538599OtherGATEWAY GROUP#
PA303675OtherUPMC
PA1632058OtherHIGHMARK GROUP#
PA083345Medicare PIN