| Robert Thomas Crowder Jr, MD | |
|
6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 | |
| (480) 456-9000 | |
| Not Available |
| Full Name | Robert Thomas Crowder Jr |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 6424 E Broadway Rd Ste 101, Mesa, Arizona |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649536376 | NPI | - | NPPES |
| 405915 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 51075 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Health Medical Center - Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center Beaches | Jacksonville beach, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Mayo Clinic Health System In Waycross | Waycross, GA | Hospital |
| Memorial Hospital Jacksonville | Jacksonville, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Mori Bean And Brooks Inc | 8820077878 | 617 |
| Northside Radiology Associates Llc | 4486555398 | 256 |
| Entity Name | Mori Bean And Brooks Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093782070 PECOS PAC ID: 8820077878 Enrollment ID: O20040714001317 |
| Entity Name | Northside Radiology Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013960657 PECOS PAC ID: 4486555398 Enrollment ID: O20200914002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Thomas Crowder Jr, MD 13001 East 17th Place, University Of Colorado Denver School Of Medicine Gme, Aurora, CO 80045-2579 Ph: (303) 724-6031 | Robert Thomas Crowder Jr, MD 6424 E Broadway Rd Ste 101, Mesa, AZ 85206-1750 Ph: (480) 456-9000 |
Asim A. Khwaja, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-926-8332 | |
Tobias Schifter, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Stuart B. Cohen, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 | |
James B. Lyons, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Dr. Kirk D Minkus, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 7529 E Broadway Rd Ste 101, Mesa, AZ 85208 Phone: 480-945-4343 Fax: 480-945-4350 | |
Marvin K. Tam, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd Ste 101, Mesa, AZ 85206 Phone: 480-456-9000 | |
Brian J. Igel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1125 E Southern Ave, Suite 300, Mesa, AZ 85204 Phone: 480-545-8119 Fax: 480-892-6805 |