Active NPI
Jeffrey W Crecelius, MD
- Pediatrics Physician
- Hilliard, OH
National Provider Identifier
1043217466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35057106
- Practice address
- 3855 Trueman CT
Hilliard, OH 43026-2496 - Phone
- (614) 777-1800
- Fax
- (614) 777-1831
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35057106 | OH | Primary |
Addresses
Primary practice location
3855 Trueman CT
Hilliard, OH 43026-2496
Mailing address
3855 Trueman CT
Hilliard, OH 43026-2496
Phone (614) 777-1800
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35057106 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilliard Pediatrics, Inc | Past | Accepting new patients | |
| Ohio Pediatric Alliance, LLC | Pediatrics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Hilliard, OH
- NPI 1639217011
-
- Pediatrics Physician
- Hilliard, OH
- NPI 1780566885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438819200000",
"number": "1043217466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3855 TRUEMAN CT",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430262496",
"telephone_number": "614-777-1800",
"fax_number": "614-777-1831"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 TRUEMAN CT",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430262496",
"telephone_number": "614-777-1800",
"fax_number": "614-777-1831"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRECELIUS",
"first_name": "JEFFREY",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2015-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35057106",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.