Organization Active NPI

Crow Creek Therapeutics, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, OH
National Provider Identifier
1053580167
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
1752867 Issued in OH
Legal business name
CROW CREEK THERAPEUTICS, LLC
Practice address
1740 Harmon Ave
Ste H
Columbus, OH 43223-3355
Phone
(888) 420-2337
Fax
(866) 228-5570
NPI assigned
Feb 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

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

Authorized official

Name
Kevin Gearheart
Title
President
Phone
(317) 813-4210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 1752867 OH Primary

Addresses

Primary practice location

1740 Harmon Ave
Ste H
Columbus, OH 43223-3355

Mailing address

3750 Priority Way South Dr Ste 230
Indianapolis, IN 46240-3831
Phone (877) 813-0205

Other identifiers 2

IdentifierTypeStateIssuer
000000581418OtherOHANTHEM
2850197MedicaidOH

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3750 Priority Way South Dr
Ste 230
Indianapolis, IN 46240

1740 Harmon Ave
Ste H
Columbus, OH 43223
Phone (888) 420-2337

580 S High St
Ste 230
Columbus, OH 43215

NPI Registry JSON

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750377600000",
    "number": "1053580167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 PRIORITY WAY SOUTH DR STE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462403831",
            "telephone_number": "877-813-0205",
            "fax_number": "877-604-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 HARMON AVE",
            "address_2": "STE H",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432233355",
            "telephone_number": "888-420-2337",
            "fax_number": "866-228-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROW CREEK THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-22",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A",
        "authorized_official_last_name": "GEARHEART",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-813-4210"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "1752867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000581418",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2850197",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; 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.