DR. KATIE M CROWDER (NPI# 1205858040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205858040 |
| Entity Type | Individual |
| Full Name | DR. KATIE M CROWDER |
| Credential | MD |
| Practice Address |
725 University Blvd Beavercreek OH 45324 |
| Mailing Address |
725 University Blvd Beavercreek OH 45324-2640 |
| Practice Telephone | 9372457100 |
| Practice Fax Number | 9372457999 |
| Mailing Telephone | 9372457100 |
| Mailing Fax Number | 9372457999 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2018-05-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35.133256 | OH | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | KS 04-31188 | KS | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 31188 | KS | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 755 Scott Circle, 15 Mdg, Jbph-h, HI 96853 | 8084486234 | 7074233501 |
| Street Address |
725 UNIVERSITY BLVD |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538794953 | Caleb Norton | Physical Therapist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2020-03-05 |
| 1346707379 | Bryan Michael Dooley | Physician Assistant | 725 University Blvd, Beavercreek, OH 45324-2640 | 2019-02-26 |
| 1336627041 | Wade Stewart Rice | Physical Therapist | 725 University Blvd, Beavercreek, OH 45324 | 2018-08-03 |
| 1568955300 | Elizabeth Joan Usedom | Dermatology | 725 University Blvd, Beavercreek, OH 45324-2640 | 2018-06-06 |
| 1649768334 | Accelerated Rehabilitation Centers Ltd | Occupational Therapist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2018-04-27 |
| 1174036008 | Brianna Lee Albers | Specialist/Technologist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-11-14 |
| 1932628617 | Eric William Bornholdt | Specialist/Technologist | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-09-14 |
| 1174059109 | Patrick Veerkamp | Student in an Organized Health Care Education/Training Program | 725 University Blvd, Beavercreek, OH 45324-2640 | 2017-05-11 |
| 1063948438 | Clayton Douglas Conner | Student in an Organized Health Care Education/Training Program | 725 University Blvd, Beavercreek, OH 45324 | 2017-05-04 |
| 1801258397 | Keith Michael Reisinger-kindle | Obstetrics & Gynecology | 725 University Blvd, Beavercreek, OH 45324-2640 | 2016-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760019475 | Carehere LLC | Family Medicine | 3040 Kemp Rd Ste 100, Beavercreek, OH 45431-2644 | 2020-03-24 |
| 1740713254 | Kelsey Mayrand | Family Medicine | 1244 Meadow Bridge Dr Ste 100, Beavercreek, OH 45434-6388 | 2017-04-11 |
| 1760895940 | Jonathan A Clifford | Family Medicine | 2510 Commons Blvd Ste 110, Beavercreek, OH 45431-3821 | 2014-06-05 |
| 1881977171 | Alim Vivanco | Family Medicine | 2641 Hibiscus Way, Apt 312, Beavercreek, OH 45431-2393 | 2011-09-22 |
| 1639465586 | Melanie C Raffoul | Family Medicine | 1911 Old Fairfield Rd Ste 110a, Beavercreek, OH 45432-2754 | 2011-06-20 |
| 1528221157 | Green and Guirnalda Family Health Center | Family Medicine | 3359 Kemp Rd Ste 100, Beavercreek, OH 45431-2565 | 2008-07-03 |
| 1760661367 | Matthew D Moore LLC | Family Medicine | 2141 North Fairfield Road, Suite C, Beavercreek, OH 45431-2579 | 2007-10-31 |
| 1710066030 | Jane Diane Morford | Family Medicine | 1896 Shady Ln, Beavercreek, OH 45432-2063 | 2006-11-06 |
| 1316058894 | Joseph Scott Leithold | Family Medicine | 4235 Indian Ripple Road, Ste 210, Beavercreek, OH 45440 | 2006-08-31 |
| 1437198066 | Lisa Renee Vantrease | Family Medicine | 2145 N Fairfield Rd Ste 100, Beavercreek, OH 45431 | 2006-06-06 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45324 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.