Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Keith Thomas Crocker, DO

Individual provider Orthopaedic Surgery Physician · NPI 1871597419

Dr. Keith Thomas Crocker, DO is an Orthopaedic Surgery Physician in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4300 Cascade Rd SE Ste 103
Grand Rapids, MI 49546-3631
Phone: (616) 245-4513
Fax: (616) 245-4802
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 5101007635 (MI)

Record details

NPI number1871597419
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 10, 2005
Last updated in NPPESDecember 5, 2007
Mailing address4300 Cascade Rd Se, Ste 103, Grand Rapids, MI 49546-3631

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