Individual
DR. JASON MICHAEL CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
806 MANVEL AVE, CHANDLER, OK 74834-3858
(405) 258-9955
(405) 258-9930
Mailing address
806 MANVEL AVE, CHANDLER, OK 74834-3858
(405) 258-9955
(405) 258-9930
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4290
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497890115
NPI FOR JASON CROUCH, D.O.
—
01
—
1609093228
NPI FOR CROUCH FAMILY MEDICINE PC (ORGANIZATION NPI)
—
01
—
1618242
COVENTRY HEALTH CARE PROVIDER ID #
—
01
—
200116510 A
MEDICAID # FOR CROUCH FAMILY MEDICINE (CLINIC)
OK
05
—
200116510A
—
OK
01
—
200116520 A
MEDICAID # FOR JASON CROUCH, D.O.
OK
05
—
200116520A
—
OK
01
—
243722101
MEDICARE # FOR JASON CROUCH, D.O.
—
01
—
300522328
MEDICARE # FOR CROUCH FAMILY MEDICINE (CLINIC)
—
01
—
37D1067992
CLIA # FOR CROUCH FAMILY MEDICINE LAB (CLIA-WAIVED LAB)
—
01
—
4474235
CIGNA HEALTHCARE PROVIDER #
—
01
—
6147210001
DURABLE MEDICAL EQUIPMENT (DME) PTAN
—
01
—
9060050
AETNA PIN
—
01
—
DG9878
RAILROAD MEDICARE PT B GROUP NUMBER
—
01
—
P00465778
RAILROAD MEDICARE PT B PTAN
—
Enumeration date
02/20/2007
Last updated
03/04/2013
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