Organization Active NPI

Jeff Crawford MD PC

Doing business as Jeff Crawford MD

  • Family Medicine Physician
  • Kearny, AZ
National Provider Identifier
1316062706
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18695 Issued in AZ
Legal business name
JEFF CRAWFORD MD PC
Doing business as
Jeff Crawford MD
Practice address
351 Airport Road
Kearny, AZ 85237-1179
Phone
(520) 363-9772
Fax
(520) 363-9774
NPI assigned
Mar 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jeff Crawford, MDNPI 1568685204
Title
Owner President of Corporation
Phone
(520) 363-9782

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 18695 AZ Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X G53019 CA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 5268 MT

Addresses

Primary practice location

351 Airport Road
Kearny, AZ 85237-1179

Mailing address

PO Box 1179
351 Airport Road
Kearny, AZ 85239-1179
Phone (520) 363-9772

Other names 1

  • Jeff Crawford MD Doing business as

National Provider Directory

National Provider Directory

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": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316062706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "address_2": "351 AIRPORT ROAD",
            "city": "KEARNY",
            "state": "AZ",
            "postal_code": "852391179",
            "telephone_number": "520-363-9772",
            "fax_number": "520-363-9774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 AIRPORT ROAD",
            "city": "KEARNY",
            "state": "AZ",
            "postal_code": "852371179",
            "telephone_number": "520-363-9772",
            "fax_number": "520-363-9774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFF CRAWFORD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "520-363-9782",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "18695",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G53019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "MT",
            "license": "5268",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeff Crawford MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kearny, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.