Individual provider Active NPI

Lance E Cropp, DO

  • Diagnostic Radiology Physician
  • Mansfield, OH
National Provider Identifier
1346354909
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34-005438 Issued in OH
Practice address
1987 W 4TH St
Mansfield, OH 44906-1708
Phone
(419) 525-2160
Fax
(419) 522-7021
NPI assigned
Aug 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 34-005438 OH Primary

Addresses

Primary practice location

1987 W 4TH St
Mansfield, OH 44906-1708

Mailing address

1987 W 4TH St
Mansfield, OH 44906-1708
Phone (419) 525-2160

Other identifiers 1

IdentifierTypeStateIssuer
0934163MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34-005438OHMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Express Imaging Diagnostic Radiology Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1346354909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1987 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061708",
            "telephone_number": "419-525-2160",
            "fax_number": "419-522-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1987 W 4TH ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449061708",
            "telephone_number": "419-525-2160",
            "fax_number": "419-522-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROPP",
        "first_name": "LANCE",
        "middle_name": "E",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34-005438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0934163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.