Individual provider Active NPI

Corinna Jenise Crayton, MD

  • Surgery Physician
  • Dayton, OH
National Provider Identifier
1184245268
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
57.249453 Issued in OH
Practice address
128 E Apple St
Wche 7TH Floor
Dayton, OH 45409-2902
Phone
(850) 596-4224
NPI assigned
Apr 30, 2020
Last updated
Apr 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 57.249453 OH Primary

Addresses

Primary practice location

128 E Apple St
Wche 7TH Floor
Dayton, OH 45409-2902

Mailing address

128 E Apple St
Dayton, OH 45409-2902

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200515001968 OH Order and Referring Only - General SurgeryPractitioner - General Surgery 3375974819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1184245268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E APPLE ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E APPLE ST",
            "address_2": "WCHE 7TH FLOOR",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092902",
            "telephone_number": "850-596-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAYTON",
        "first_name": "CORINNA",
        "middle_name": "JENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "57.249453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.