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DR. JASON MICHAEL CROUCH D.O. NPI 1497890115


NPI Information

NPI: 1497890115
Provider Name: DR. JASON MICHAEL CROUCH, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
806 MANVEL AVE
CHANDLER, OK
ZIP 74834
Phone: (405) 258-9955
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DR. Jason Michael Crouch, D.O. is a family medicine in Chandler, OK with 20 years of experience. The provider is 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. DR. Jason Michael Crouch, D.O. NPI is 1497890115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year:2004

The provider's business location address is:

806 MANVEL AVE
CHANDLER, OK
ZIP 74834-858
Phone: (405) 258-9955
Fax: (405) 258-9930

The NPI 1497890115 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Hemoglobin a1c level (HCPCS:83036)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Automated urinalysis test (HCPCS:81003)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)
  • Destruction of skin growth (HCPCS:17000)
  • Removal of impact ear wax, one ear (HCPCS:69210)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implem (HCPCS:G0180)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Routine ekg using at least 12 leads including interpretation and report (HCPCS:93000)

The enumeration date for this NPI number is 2/20/2007 and was last updated on 3/4/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine4290OKLAHOMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200116510 AOTHEROKLAHOMAMEDICAID # FOR CROUCH FAMILY MEDICINE (CLINIC)
2200116520 AOTHEROKLAHOMAMEDICAID # FOR JASON CROUCH, D.O.
3200116510AMEDICAIDOKLAHOMA
4DG9878OTHERRAILROAD MEDICARE PT B GROUP NUMBER
5300522328MEDICARE PIN
6P00465778MEDICARE PIN
7P00465778OTHERRAILROAD MEDICARE PT B PTAN
8243722101MEDICARE PIN
937D1067992OTHERCLIA # FOR CROUCH FAMILY MEDICINE LAB (CLIA-WAIVED LAB)
106147210001MEDICARE NSC
111609093228OTHERNPI FOR CROUCH FAMILY MEDICINE PC (ORGANIZATION NPI)
121618242OTHERCOVENTRY HEALTH CARE PROVIDER ID #
13243722101OTHERMEDICARE # FOR JASON CROUCH, D.O.
144474235OTHERCIGNA HEALTHCARE PROVIDER #
15200116520AMEDICAIDOKLAHOMA
16DG9878MEDICARE PIN
176147210001OTHERDURABLE MEDICAL EQUIPMENT (DME) PTAN
181497890115OTHERNPI FOR JASON CROUCH, D.O.
19208582792OTHERCLINIC TAX ID NUMBER
20300522328OTHERMEDICARE # FOR CROUCH FAMILY MEDICINE (CLINIC)
219060050OTHERAETNA PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.