Organization Active NPI

Rick Crawford MD

  • Family Medicine Physician
  • Evansville, IN
National Provider Identifier
1023459880
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01031897 Issued in IN
Legal business name
RICK CRAWFORD MD
Practice address
1202 W Buena Vista Rd
Suite 100
Evansville, IN 47710
Phone
(812) 480-6698
Fax
(812) 437-0037
NPI assigned
Jul 9, 2013
Last updated
Jul 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Dr. Ricky E Crawford, M.D.NPI 1437138856
Title
Proprietor
Phone
(812) 480-6698

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01031897 IN Primary

Addresses

Primary practice location

1202 W Buena Vista Rd
Suite 100
Evansville, IN 47710

Mailing address

1020 Spring Creek Dr
Evansville, IN 47710-5404
Phone (812) 480-6698

Other identifiers 1

IdentifierTypeStateIssuer
100246550AMedicaidIN

National Provider Directory

National Provider Directory

Locations

1202 W Buena Vista Rd
Ste 100
Evansville, IN 47710
Phone (812) 424-7114

Practitioners & affiliated clinicians

Practitioners 6

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": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1023459880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SPRING CREEK DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477105404",
            "telephone_number": "812-480-6698",
            "fax_number": "812-437-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W BUENA VISTA RD",
            "address_2": "SUITE 100",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "47710",
            "telephone_number": "812-480-6698",
            "fax_number": "812-437-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICK CRAWFORD MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "RICKY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "812-480-6698",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01031897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100246550A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.