Mark J Crnkovich, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

35052254 Issued in OH

Practice address

3525 Olentangy River Rd
Columbus, OH 43214-3937

Phone

(614) 566-5000

Fax

(614) 566-6958

NPI assigned

Jul 3, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205866647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 182039",
            "address_2": "DEPT 086",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432182039",
            "telephone_number": "614-261-3712",
            "fax_number": "614-447-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143937",
            "telephone_number": "614-566-5000",
            "fax_number": "614-566-6958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRNKOVICH",
        "first_name": "MARK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35052254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000118957",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0644477",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Paul Critchley, M.D
• Erika Critell, DO
• Paul Joseph Crites, DDS
• Critical Care Transport Inc.
• Crittenton Community School
• Jessica Crocker
• Kyra R Crockett Hodge
• Daniel S Crockett
• Dianna Crockett, MSW LSW
• Heather Marie Crockett, DDS

• Radiation Oncology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Radiation Oncology Physician in Ohio

• 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.