Physician Compare National (NPI:1902826738)

HEALTHCARE PROVIDER: MICHAEL J CROWE III DPM

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902826738
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3173698321
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080822000078
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CROWE
	Individual professional last name
Provider First Name	MICHAEL
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
	Individual professional's medical school
Graduation Year	1984
	Individual professional's medical school graduation year
Primary Specialty	PODIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	211 ALDEN RD
	Group Practice or individual's line 1 address
Line 2 Street Address	A
	Group Practice or individual's line 2 address
City	FAIRHAVEN
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	027194415
	Group Practice or individual's zip code (9 digits when available)
Phone Number	5089974646
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y