Organization Active NPI

Crawford Green Cardiology Group LLC

  • Cardiovascular Disease Physician
  • Oxon Hill, MD
National Provider Identifier
1083833800
Registry record updated Sep 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
D0027650 Issued in MD
Legal business name
CRAWFORD GREEN CARDIOLOGY GROUP LLC
Practice address
6196 Oxon Hill Rd
Suite 500
Oxon Hill, MD 20745-3100
Phone
(301) 567-5888
Fax
(301) 567-8040
NPI assigned
Apr 24, 2007
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
Cynthia G Crawford-Green, M.D.
Title
Owner
Phone
(301) 567-5888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X D0027650 MD Primary

Addresses

Primary practice location

6196 Oxon Hill Rd
Suite 500
Oxon Hill, MD 20745-3100

Mailing address

6196 Oxon Hill Rd
Suite 500
Oxon Hill, MD 20745-3100
Phone (301) 567-5888

Other identifiers 3

IdentifierTypeStateIssuer
011176600MedicaidDC
2160017OtherMDUHC PROVIDER NUMBER
4692961OtherMDCIGNA PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

106 Irving St NW
Ste 404
Washington, DC 20010
Phone (202) 291-3270

106 Irving St NW
Ste 404S
Washington, DC 20010
Phone (301) 567-5888

6196 Oxon Hill Rd
Ste 500
Oxon Hill, MD 20745
Phone (301) 567-5888

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220572800000",
    "number": "1083833800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "SUITE 500",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-567-5888",
            "fax_number": "301-567-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6196 OXON HILL RD",
            "address_2": "SUITE 500",
            "city": "OXON HILL",
            "state": "MD",
            "postal_code": "207453100",
            "telephone_number": "301-567-5888",
            "fax_number": "301-567-8040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD GREEN CARDIOLOGY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2008-09-05",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD-GREEN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-567-5888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D0027650",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011176600",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER NUMBER",
            "identifier": "2160017",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "4692961",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxon Hill, MD

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.