Organization Active NPI

Crawford Radiology LTD

  • Diagnostic Radiology Physician
  • Robinson, IL
National Provider Identifier
1295808178
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CRAWFORD RADIOLOGY LTD
Practice address
1000 N Allen St
Dept of Radiology
Robinson, IL 62454
Phone
(616) 544-3131
NPI assigned
Nov 16, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Sandra S Knuth, DO
Title
Owner
Phone
(616) 544-3131

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

NPPES NPI Registry

Primary practice location

1000 N Allen St
Dept of Radiology
Robinson, IL 62454

Mailing address

PO Box 790126
Dept 30660
Saint Louis, MO 63179-0126
Phone (866) 331-7699

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
0001732008OtherILBCBS OF ILL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 18, 2007.

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184716800000",
    "number": "1295808178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 790126",
            "address_2": "DEPT 30660",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631790126",
            "telephone_number": "866-331-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N ALLEN ST",
            "address_2": "DEPT OF RADIOLOGY",
            "city": "ROBINSON",
            "state": "IL",
            "postal_code": "62454",
            "telephone_number": "616-544-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAWFORD RADIOLOGY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-18",
        "status": "A",
        "authorized_official_last_name": "KNUTH",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "616-544-3131",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ILL",
            "identifier": "0001732008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robinson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.