DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1831164342

NPI Code Detail

MEDICARE: AMY RUTH CROWDER MD

MEDICARE: AMY RUTH CROWDER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME89130	FL
2	207Q00000X	Family Medicine Physician	D66570	MD
3	207Q00000X	Family Medicine Physician	82154	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	S3990045	OTHER		CAREFIRTS BCBS
3	1697390	OTHER		AETNA HMO
4	269666	OTHER		KAISER
5	7736577	OTHER		AETNA PPO
6	KJ77AN92322401	OTHER		CAREFIRST
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831164342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY RUTH CROWDER MD

Provider Business Mailing Address
First Line	:	8400 WASHINGTON AVE
Second Line	:
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53406-3735
Country	:	US
Telephone Number	:	262-884-4088
Fax Number	:	443-481-6515

Provider Business Practice Location Address
First Line	:	8400 WASHINGTON AVE
Second Line	:
City	:	MOUNT PLEASANT
State	:	WI
Zip	:	53406-3735
Country	:	US
Telephone Number	:	262-884-4088
Fax Number	:	443-481-6515

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2006
Last Update Date	:	08/17/2023

Similar Medicare Providers

1417944737 — MATTHEW T LARSEN D.P.M.
Practice Location Address:

8400 WASHINGTON AVE
MOUNT PLEASANT, WI
53406-3735

Practice Phone: 262-884-4000
Practice Fax:

1396734034 — MS. JILL KOCH WANGGAARD NP
Practice Location Address:

8400 WASHINGTON AVE
MOUNT PLEASANT, WI
53406-3735

Practice Phone: 262-884-4088
Practice Fax: 262-884-4078

1053302729 — MICHAEL MULLANE MD
Practice Location Address:

8400 WASHINGTON AVE
MOUNT PLEASANT, WI
53406-3735

Practice Phone: 262-884-8340
Practice Fax:

1588655351 — KELLY KONESKO NP
Practice Location Address:

8400 WASHINGTON AVE
MOUNT PLEASANT, WI
53406-3735

Practice Phone: 262-884-8340
Practice Fax:

1942262712 — DR. BRIAN J HETTRICK M.D.
Practice Location Address:

8400 WASHINGTON AVE
MOUNT PLEASANT, WI
53406-3735

Practice Phone: 262-884-4088
Practice Fax:

1194788315 — DR. BOBY G THECKEDATH M.D
Practice Location Address:

8400 WASHINGTON AVE
MOUNT PLEASANT, WI
53406-3735

Practice Phone: 262-884-4000
Practice Fax: 262-884-4177

Directions to “ AMY RUTH CROWDER MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.