John Thomas Critchlow, M. D

Primary specialty

SpecialistTaxonomy code 174400000X

License

R6605 Issued in MO

Practice address

3065 William St
Suite 105
Cape Girardeau, MO 63703-6393

Phone

(573) 651-1882

Fax

(573) 334-5302

NPI assigned

Dec 12, 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 1

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.

• Vein & Esthetic Centre

  • Vascular Surgery Physician
  • Poplar Bluff, MO
  • NPI 1093941668
  NPD (past) Authorized official
• Vein & Esthetic Centre

  • Vascular Surgery Physician
  • Carterville, IL
  • NPI 1184850752
  NPD (past) Authorized official
• Division Street Family Practice Clinic PC

  • Family Medicine Physician
  • Oregon City, OR
  • NPI 1659316131
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1326108945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 WILLIAM ST",
            "address_2": "SUITE 105",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036393",
            "telephone_number": "573-651-1882",
            "fax_number": "573-334-5302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 WILLIAM ST",
            "address_2": "SUITE 105",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036393",
            "telephone_number": "573-651-1882",
            "fax_number": "573-334-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHLOW",
        "first_name": "JOHN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M. D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MO",
            "license": "R6605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201100237",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crain and Carman Inc
• Daniel Johnston Cranford, D.O.
• Christopher Michael James Crawford, D.C.
• Roderic Clayton Crist, MD
• Claire Critchlow, MA, LPC
• Thomas Crocetti, DO
• Christopher Michael Crocker, D.O.
• Janna R Crosnoe, M.D.
• Cross Trails Medical Center
• Cross Trails Medical Center

• Specialist in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; 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.