Active NPI
Benjamin Crawford DO Psychiatry PLC
- Psychiatry Physician
- Tulsa, OK
National Provider Identifier
1134483928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4750
- Legal business name
- BENJAMIN CRAWFORD DO PSYCHIATRY PLC
- Practice address
- 4612 S Harvard Ave Ste a
Tulsa, OK 74135-2908 - Phone
- (918) 747-5565
- Fax
- (918) 747-5568
- NPI assigned
- Jun 27, 2012
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Melody Houk
- Title
- Practice Administrator
- Phone
- (918) 747-0568
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4750 | OK | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4612 S Harvard Ave Ste a
Tulsa, OK 74135-2908
Mailing address
4612 S Harvard Ave Ste a
Tulsa, OK 74135-2908
Phone (918) 747-5565
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200436080 | Medicaid | OK |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 24, 2012.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345766400000",
"number": "1134483928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4612 S HARVARD AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352908",
"telephone_number": "918-747-5565",
"fax_number": "918-747-5568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4612 S HARVARD AVE STE A",
"city": "TULSA",
"state": "OK",
"postal_code": "741352908",
"telephone_number": "918-747-5565",
"fax_number": "918-747-5568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BENJAMIN CRAWFORD DO PSYCHIATRY PLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-27",
"last_updated": "2012-08-24",
"status": "A",
"authorized_official_last_name": "HOUK",
"authorized_official_first_name": "MELODY",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "918-747-0568"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OK",
"license": "4750",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200436080",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.