CROUCH FAMILY MEDICINE PC NPI 1609093228

NPI Information

  • NPI: 1609093228
  • Provider Name: CROUCH FAMILY MEDICINE PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 37D1067992
  • Address: 806 MANVEL AVE
    CHANDLER, OK
    ZIP 74834
  • Phone: (405) 258-9955

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NPI Details

CROUCH FAMILY MEDICINE PC is a primary care clinic center in Chandler, OK. CROUCH FAMILY MEDICINE PC NPI is 1609093228. The provider is registered as an organization entity type.

The provider's business location address is:

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

The provider's authorized official is Robin Lee Crouch .
The authorized official title is Business Manager and has the following contact phone number (405) 258-9955.

The CLIA number assigned to this NPI record is 37D1067992 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2007 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
1261QP2300XClinic/CenterPrimary Care4290OKLAHOMAYes

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
11618242OTHERCOVENTRY HEALTH CARE PROVIDER ID #
2300522328OTHERMEDICARE # FOR CROUCH FAMILY MEDICINE PC
3300522328MEDICARE PIN
41497890115OTHERNPI FOR JASON CROUCH, D.O. (INDIVIDUAL)
5200116510AOTHEROKLAHOMAMEDICAID # FOR CROUCH FAMILY MEDICINE PC
6200116520AOTHEROKLAHOMAMEDICAID # FOR JASON CROUCH, D.O.
7P00465778OTHERRAILROAD MEDICARE PT. B PTAN
8200116520AMEDICAIDOKLAHOMA
91215222666OTHERNPI FOR JANENA MILBURN, APRN, CNP, FNP-C
101609093228OTHERNPI FOR CROUCH FAMILY MEDICINE (ORGANIZATION)
114474235OTHERCIGNA HEALTHCARE PROVIDER #
126147210001OTHEROKLAHOMAPTAN
136147210001MEDICARE NSC
14DG9878OTHERRAILROAD MEDICARE PT. B GROUP NUMBER
15200116510AMEDICAIDOKLAHOMA
16243722101MEDICARE PIN
17DG9878MEDICARE PIN
18243722101OTHERMEDICARE # FOR JASON CROUCH, D.O.
199060050OTHERAETNA PIN
2037D1067992OTHERCLIA # FOR CROUCH FAMILY MEDICINE LAB (CLIA-WAIVED LAB)
216147210001OTHERDME PTAN FOR CROUCH FAMILY MEDICINE
22OKA104243OTHERMEDICARE PTAN FOR JANENA MILBURN, APRN, CNP, FNP-C
23P00465778MEDICARE 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: 11/21/2025

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