Organization Active NPI

Kevin J. Croce, MD

  • Diagnostic Radiology Physician
  • Lebanon, KY
National Provider Identifier
1184866030
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
42537 Issued in KY
Legal business name
KEVIN J. CROCE, MD
Practice address
320 Loretto Rd
Lebanon, KY 40033-1300
Phone
(859) 539-9190
Fax
(866) 213-9002
NPI assigned
Mar 24, 2009
Last updated
Aug 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Kevin J Croce, MD
Title
MD/Owner
Phone
(859) 539-9190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 42537 KY Primary

Addresses

Primary practice location

320 Loretto Rd
Lebanon, KY 40033-1300

Mailing address

320 Loretto Rd
Lebanon, KY 40033-1300
Phone (859) 539-9190

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1184866030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331300",
            "telephone_number": "859-539-9190",
            "fax_number": "866-213-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 LORETTO RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331300",
            "telephone_number": "859-539-9190",
            "fax_number": "866-213-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEVIN J. CROCE, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "CROCE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "859-539-9190",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "42537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.