Douglas C Crutcher, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

22755 Issued in KY

Practice address

1210 Ky Highway 36 E
Cynthiana, KY 41031-7498

Phone

(859) 234-2300

Fax

(859) 235-3699

NPI assigned

May 17, 2006

Last updated

Sep 3, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21353/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kentucky Medical Imaging Associates LLC

  • Diagnostic Radiology Physician
  • Cynthiana, KY
  • NPI 1073565248
  Authorized official Same address or phone
• Fleming Regional Medical Imaging, PLLC

  • Radiology Clinic/Center
  • Flemingsburg, KY
  • NPI 1538280078
  NPD (past)
• Jackson Hospital Corporation

  dba Kentucky River ER, Anesth, Radiology

  • Emergency Medicine Physician
  • Jackson, KY
  • NPI 1679774996

  Diagnostic Radiology

  NPD (past)
• Kentucky Diabetes Endocrinology Center, PSC

  • Endocrinology, Diabetes & Metabolism Physician
  • Nicholasville, KY
  • NPI 1528120862
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1063464758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 EASTPOINT PKWY",
            "address_2": "SUITE 220",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234140",
            "telephone_number": "502-753-4949",
            "fax_number": "502-753-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 KY HIGHWAY 36 E",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410317498",
            "telephone_number": "859-234-2300",
            "fax_number": "859-235-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUTCHER",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "22755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64227556",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent J Corsi, PHARMD, RPH
• Amber Dawn Courtney, CPHT
• Kristina Coy
• Dannita Crossfield, PT
• Crista Strawzell Crowdy, P. A.
• Adam Cunningham
• Cynthiana Chiropractic Center PLLC
• Cynthiana Chiropractic Center PLLC (Cynthiana Chiropractic Center)
• Cynthiana Dental Center
• Cynthiana Hometown Pharmacy LLC

• Diagnostic Radiology Physician in Cynthiana, KY
• Providers in Cynthiana, KY by specialty
• Diagnostic Radiology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.

Verify at the official NPI Registry.