Organization Active NPI

Crawford Family Medicine, Inc.

  • Primary Care Clinic/Center
  • North Scituate, RI
National Provider Identifier
1013173319
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD07139 Issued in RI
Legal business name
CRAWFORD FAMILY MEDICINE, INC.
Practice address
33 Danielson Pike
North Scituate, RI 02857-1877
Phone
(410) 647-7411
Fax
(401) 647-2840
NPI assigned
Aug 6, 2008
Last updated
Sep 5, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kim Jay Crawford, M.D.NPI 1174579643
Title
President
Phone
(401) 647-7411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MD07139 RI Primary

Addresses

Primary practice location

33 Danielson Pike
North Scituate, RI 02857-1877

Mailing address

33 Danielson Pike
North Scituate, RI 02857-1877
Phone (410) 647-7411

Other identifiers 1

IdentifierTypeStateIssuer
9020220MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000326 RI Part B Supplier - Clinic/Group Practice 7911072822 Receives reassigned benefits from 1 practitioner
Practice locations: North Scituate, RI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1013173319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 DANIELSON PIKE",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571877",
            "telephone_number": "410-647-7411",
            "fax_number": "401-647-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 DANIELSON PIKE",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571877",
            "telephone_number": "410-647-7411",
            "fax_number": "401-647-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD FAMILY MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "401-647-7411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "RI",
            "license": "MD07139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9020220",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Scituate, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.