Active NPI
Andrew Croft, MD
- Student in an Organized Health Care Education/Training Program
- Louisville, KY
National Provider Identifier
1124711643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 550 S. Jackson Street
1St Floor, Ambulatory Care Building
Louisville, KY 40292 - Phone
- (270) 556-5118
- NPI assigned
- May 31, 2023
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
550 S. Jackson Street
1St Floor, Ambulatory Care Building
Louisville, KY 40292
Mailing address
550 S. Jackson Street
1St Floor, Ambulatory Care Building
Louisville, KY 40292
Phone (270) 556-5118
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)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718496000000",
"number": "1124711643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 S. JACKSON STREET",
"address_2": "1ST FLOOR, AMBULATORY CARE BUILDING",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40292",
"telephone_number": "270-556-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 S. JACKSON STREET",
"address_2": "1ST FLOOR, AMBULATORY CARE BUILDING",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40292",
"telephone_number": "270-556-5118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROFT",
"first_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-05-31",
"last_updated": "2024-06-16",
"certification_date": "2024-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.