Healthcare Provider Details

I. General information

NPI: 1619460086
Provider Name (Legal Business Name): CONNOR DAVID CROWLEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/11/2018
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

509 BILTMORE AVE
ASHEVILLE NC
28801-4601
US

IV. Provider business mailing address

PO BOX 654481
DALLAS TX
75265-4481
US

V. Phone/Fax

Practice location:
  • Phone: 828-778-9178
  • Fax:
Mailing address:
  • Phone: 866-860-8755
  • Fax: 302-467-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberLL52642
License Number StateSC
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number52642
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: