FRED MICHAEL CROUCH M.D. NPI 1558397497

NPI Information

  • NPI: 1558397497
  • Provider Name: FRED MICHAEL CROUCH, M.D.
  • Classification: Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X
  • Entity Type: Individual
  • Address: 524 SE OSCEOLA ST
    SUITE 100
    STUART, FL
    ZIP 34994
  • Phone: (772) 419-2379

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NPI Details

Fred Michael Crouch, M.D. is a thoracic surgery cardiothoracic vascular surgery in Stuart, FL. The provider is a thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. Fred Michael Crouch, M.D. NPI is 1558397497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

524 SE OSCEOLA ST
SUITE 100
STUART, FL
ZIP 34994-322
Phone: (772) 419-2379
Fax: (772) 419-2377

The enumeration date for this NPI number is 6/23/2006 and was last updated on 6/28/2012.

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
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)ME77601FLORIDAYes

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
1060052682MEDICARE PINFLORIDA
2C87433MEDICARE UPINFLORIDA
3780001923MEDICARE PINFLORIDA
444862YMEDICARE PINFLORIDA
544862ZMEDICARE PINFLORIDA
644862UMEDICARE PINFLORIDA
7P00068520MEDICARE PINFLORIDA
844862OTHERFLORIDABCBS FL
9256527700MEDICAIDFLORIDA
10P00367313MEDICARE PINFLORIDA
1144862BOTHERFLORIDABCBS HMO
1244862AOTHERFLORIDABCBS HMO
1344862XMEDICARE PINFLORIDA
1444862VMEDICARE PINFLORIDA
1544862WMEDICARE PINFLORIDA

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: 11/21/2025

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