DR. KEITH THOMAS CROCKER DO
NPI 1871597419
Orthopaedic Surgery in Grand Rapids, MI

Active since June 10, 2005
4300 CASCADE RD SE, STE 103, GRAND RAPIDS, MI 49546(616) 245-4513(616) 245-4802 Get Directions Write a Review

NPPES record last updated: December 5, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Thomas Crocker Do NPPES

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

DR. KEITH THOMAS CROCKER DO (NPI 1871597419) is an individual orthopaedic surgery provider in Grand Rapids, Michigan, licensed in Michigan (5101007635) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1871597419
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. KEITH THOMAS CROCKERCredential: DO
Location Address4300 CASCADE RD SE, STE 103Grand Rapids, MI 49546-3631
Mailing Address4300 Cascade Rd Se, Ste 103Grand Rapids, MI 49546-3631 · (616) 245-4513 · Fax (616) 245-4802
Fax(616) 245-4802
Sole ProprietorYes
Enumeration DateJune 10, 2005
Last NPPES UpdateDecember 5, 2007
NPI 1871597419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in MI · 5101007635
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
4300 CASCADE RD SE, Grand Rapids, MI 49546

Other Identifiers 5

Medicare ID-Type Unspecified5413102MI
Other5413102MI · Bcbsm
Medicaid1683584MI
Medicare UPINE26227MI
OtherP54539MI · Bcn

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Family Medicine (Sports Medicine)
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Physician Assistant
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Internal Medicine
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Nurse Practitioner (Family)
4300 CASCADE RD SE
GRAND RAPIDS, MI 49546
Orthopaedic Surgery
4300 CASCADE RD SE, SUITE 103
GRAND RAPIDS, MI 49546

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 Keith Crocker's NPI number?

The NPI number for Keith Crocker is 1871597419. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Keith Crocker located?

Keith Crocker practices at 4300 Cascade Rd SE Ste 103, Grand Rapids, MI 49546. The listed phone number is (616) 245-4513.

What is Keith Crocker's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Keith Crocker was last updated on December 5, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.