Organization Active NPI

Crowfield Spine Center, P.a.

  • Chiropractor
  • Goose Creek, SC
National Provider Identifier
1255577615
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2419 Issued in SC
Legal business name
CROWFIELD SPINE CENTER, P.A.
Practice address
119 Spring Hall Dr Ste B
Goose Creek, SC 29445-5368
Phone
(843) 572-9090
NPI assigned
Jan 6, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Dr. Jeff EulauNPI 1316942279
Title
Owner
Phone
(843) 572-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2419 SC Primary

Addresses

Primary practice location

119 Spring Hall Dr Ste B
Goose Creek, SC 29445-5368

Mailing address

119 Spring Hall Dr Ste B
Goose Creek, SC 29445-5368

Other identifiers 1

IdentifierTypeStateIssuer
GCH396MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000155 SC Part B Supplier - Clinic/Group Practice 7315000569 Receives reassigned benefits from 1 practitioner
Practice locations: Goose Creek, SC

National Provider Directory

National Provider Directory

Locations

119 Springhall Dr
Ste B
Goose Creek, SC 29445
Phone (843) 572-9090

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1231200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1255577615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 SPRING HALL DR STE B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 SPRING HALL DR STE B",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294455368",
            "telephone_number": "843-572-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWFIELD SPINE CENTER, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-06",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "EULAU",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-572-9090",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GCH396",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goose Creek, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.