Active NPI
Isaac Crawford Jr.
- Contractor
- Cleveland, OH
National Provider Identifier
1003353731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Practice address
- 1475 E 71St St
Cleveland, OH 44103-2773 - Phone
- (937) 941-7573
- NPI assigned
- Jan 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | OH | Primary |
Addresses
Primary practice location
1475 E 71St St
Cleveland, OH 44103-2773
Mailing address
1475 E 71St St
Cleveland, OH 44103-2773
Phone (937) 941-7573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1092044 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1003353731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1475 E 71ST ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441032773",
"telephone_number": "937-941-7573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1475 E 71ST ST",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441032773",
"telephone_number": "937-941-7573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "ISAAC",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1092044",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.