MICHAEL K. CRIDER, M.D., PC (NPI# 1073709515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073709515 |
| Entity Type | Organization |
| Organization Name | MICHAEL K. CRIDER, M.D., PC |
| Practice Address |
3310 W Purdue Ave Muncie IN 47304-6355 |
| Practice Telephone | 7652811400 |
| Practice Fax Number | 7652822133 |
| Mailing Telephone | 7652811400 |
| Mailing Fax Number | 7652822133 |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2007-09-19 |
| Authorized Official Name | DR. MICHAEL K CRIDER (PRESIDENT) |
| Authorized Official Telephone | 7652811400 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 01029431 | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | BLUE CROSS/BLUE SHIELD | 000000091505 | 01 |
| Street Address |
3310 W PURDUE AVE |
| City | MUNCIE |
| State | IN |
| Zip Code | 47304-6355 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821627191 | Free To Flourish Counseling and Consulting | Marriage & Family Therapist | 4304 W Coyote Run Court, Muncie, IN 47304 | 2020-04-07 |
| 1205477957 | Muncie Treatment Center, LLC | Clinic/Center | 3640 Briarwood Lane, Muncie, IN 47304 | 2019-10-03 |
| 1508415225 | Susanna Florence Nalliah I | Pharmacist | Iu Health Ball Memorial Hospital Inpatient Pharmacy, 2401 W. University Ave, Muncie, IN 47304 | 2019-09-05 |
| 1235624289 | Kregg Koons O.d., Inc. | Optometrist | 3300 Purdue Ave., Muncie, IN 47304 | 2018-06-22 |
| 1013409242 | Julia Powers | Social Worker | 8425 W Ashford Ln, Muncie, IN 47304 | 2018-06-04 |
| 1851803456 | Dianna Marie Johnson | Nurse Practitioner | 3411 N Briarwood Ln, Muncie, IN 47304 | 2017-11-04 |
| 1780082917 | Quad Med LLC | Clinic/Center | 3800 West Kilgore Ave, Muncie, IN 47304 | 2014-12-22 |
| 1629418173 | Mark Allen Wise | Physical Therapist | 3607 N Everbrook Lane, Muncie, IN 47304 | 2013-06-28 |
| 1396094280 | Planned Parenthood of Indiana Muncie | Clinic/Center | 3550 W. Fox Ridge Lane, Muncie, IN 47304 | 2012-09-06 |
| 1043595655 | Olukayode Bamidele | Physical Therapist | 3601 W. Moore Road, Muncie, IN 47304 | 2011-10-14 |
| Find all providers in zip 47304 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750594685 | Marcy Jane Hays | Specialist | 4301 W Freeman Ln, Muncie, IN 47304-6152 | 2007-05-07 |
| 1932220035 | Tarek Kteleh | Specialist | 3550 W Fox Ridge Ln, Muncie, IN 47304-5205 | 2007-04-03 |
| 1689707762 | David M Dersch | Specialist | 2501 W Jackson St, Muncie, IN 47303-4632 | 2007-03-14 |
| 1205842556 | Rolando Rile Panoncillo | Specialist | 7804 W Adare Dr, Muncie, IN 47304-9434 | 2006-07-31 |
| 1053339408 | Robert Alexander Muller | Specialist | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2006-07-17 |
| 1891156014 | Skyvision Cam | Specialist | 7804 W Adare Dr, Muncie, IN 47304-9434 | 2016-03-15 |
| 1417397423 | Sai Siva Jyothi Kiranmai Mungara | Specialist | 2401 W University Ave, Muncie, IN 47303-3499 | 2013-07-05 |
| 1942341615 | Diana Lynn Lackey | Specialist | 2401 W University Ave, Muncie, IN 47303-3428 | 2007-02-08 |
| 1578615266 | University Dermatology Center PC | Specialist | 2525 W University Ave Ste 402, Muncie, IN 47303-3409 | 2007-01-16 |
| 1356429385 | Associates In Women's Health PC | Specialist | 2525 W University Ave, Suite 401, Muncie, IN 47303-3421 | 2006-11-01 |
| Find all providers in MUNCIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.