James Cameron Cruickshank, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD18154 Issued in OR

Practice address

1698 E McAndrews Rd
Suite 220
Medford, OR 97504-5589

Phone

(541) 245-5400

Fax

(541) 245-5482

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215978283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1698 E MCANDREWS RD",
            "address_2": "SUITE 220",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045589",
            "telephone_number": "541-245-5400",
            "fax_number": "541-245-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1698 E MCANDREWS RD",
            "address_2": "SUITE 220",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975045589",
            "telephone_number": "541-245-5400",
            "fax_number": "541-245-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRUICKSHANK",
        "first_name": "JAMES",
        "middle_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD18154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055694",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Medford, OR
• Providers in Medford, OR by specialty
• Specialist in Oregon

• 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.