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DR. EDWIN ERNEST CROUCHER III D.C.
NPI 1194250787
Chiropractor in Baldwinsville, NY

Active since April 21, 2017Accepts Medicare Assignment
136 E GENESEE ST, BALDWINSVILLE, NY 13027(315) 635-2333 Get Directions Write a Review

NPPES record last updated: April 21, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Edwin Ernest Croucher Iii D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. EDWIN ERNEST CROUCHER III D.C. (NPI 1194250787) is an individual chiropractor in Baldwinsville, New York, licensed in New York (012945) and active in the NPI registry since April 2017. He is a graduate of Life Chiropractic College (2017).

NPPES Registry Identity

NPI1194250787
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. EDWIN ERNEST CROUCHER IIICredential: D.C.
Location Address136 E GENESEE STBaldwinsville, NY 13027-2720
Mailing Address136 E Genesee StBaldwinsville, NY 13027-2720 · (315) 635-2333
Phone(315) 635-2333
Sole ProprietorNo
Medical School CMSLife Chiropractic CollegeGraduated 2017
Enumeration DateApril 21, 2017
✔ NPI 1194250787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NY · 012945
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
136 E GENESEE ST, Baldwinsville, NY 13027
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Edwin Ernest Croucher Iii D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143507871
PECOS Enrollment IDI20170508000896

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
115 services13 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edwin Croucher's NPI number?

The NPI number for Edwin Croucher is 1194250787. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Where is Edwin Croucher located?

Edwin Croucher practices at 136 E Genesee St, Baldwinsville, NY 13027. The listed phone number is (315) 635-2333.

What is Edwin Croucher's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Edwin Croucher enrolled in Medicare?

Yes. Edwin Croucher is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Edwin Croucher was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.