Active NPI
Keith H Crawford, M.D
- Diagnostic Radiology Physician
- Paducah, KY
National Provider Identifier
1124108790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 21534
- Practice address
- 2421 Broadway St
Paducah, KY 42001-7115 - Phone
- (270) 450-6217
- Fax
- (270) 450-6731
- NPI assigned
- Oct 17, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 21534 | KY | Primary |
Addresses
Primary practice location
2421 Broadway St
Paducah, KY 42001-7115
Mailing address
2421 Broadway St
Paducah, KY 42001-7115
Phone (270) 442-8272
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 193333 | Other | KY | HEALTHLINK |
| K004228 | Other | KY | TRICARE |
| 000000068646 | Other | KY | BCBS |
| 150821 | Other | KY | MEDICARE FDA # |
| 300019109 | Other | KY | RR MEDICARE |
| 5128682 | Other | KY | CCN |
| 64215346 | Medicaid | KY | |
| 1600014 | Other | KY | UHC |
| 4368224 | Other | KY | AETNA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21534 | KY | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421798400000",
"number": "1124108790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017115",
"telephone_number": "270-442-8272",
"fax_number": "270-444-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 BROADWAY ST",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420017115",
"telephone_number": "270-450-6217",
"fax_number": "270-450-6731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "KEITH",
"middle_name": "H",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2015-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "21534",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "193333",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "K004228",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000068646",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE FDA #",
"identifier": "150821",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "300019109",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCN",
"identifier": "5128682",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64215346",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "1600014",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4368224",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.