Jeffrey Alan Crastnopol, MD

Primary specialty

Pediatric Orthopaedic Surgery PhysicianTaxonomy code 207XP3100X

License

ME43342 Issued in FL

Practice address

3405 Saddlebrook LN
Weston, FL 33331-3034

Phone

(954) 384-8952

NPI assigned

May 1, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Broward Institute of Orthopaedic Specialties LLC

  • Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1932216918

  Pediatric Orthopaedic Surgery

  NPD (past)
• Total MRI & Diagnostic Center

  • Radiology Clinic/Center
  • Hollywood, FL
  • NPI 1265040604
  NPD (past)

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124249511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3405 SADDLEBROOK LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313034",
            "telephone_number": "954-384-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3405 SADDLEBROOK LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333313034",
            "telephone_number": "954-384-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRASTNOPOL",
        "first_name": "JEFFREY",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XP3100X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
            "state": "FL",
            "license": "ME43342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cassia Couto, RBT
• Gillian Marie Couture, M.S. CCC-SLP
• Gina Cozzarelli, DMD
• Lillian Craggs, R.D
• Craig G. Sultan, D.O., P.a
• Zoe Marie Crego, RD, LD/N
• Elena Cremisini, MS., C.F., SLP
• Catherine C Crochetiere, ARNP
• Julie M Cronauer, OD
• Esnel Clemente Cruz Morales

• Pediatric Orthopaedic Surgery Physician in Weston, FL
• Providers in Weston, FL by specialty
• Pediatric Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.