John Crawford III DO

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

022586 Issued in PA

Legal business name

JOHN CRAWFORD III DO

Practice address

170 Fourth Ave
Hastings, PA 16646

Phone

(814) 247-6583

Fax

(814) 247-8219

NPI assigned

Jun 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Crawford III, DO

Title

Lab Director

Phone

(814) 247-6583

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1366602112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 629",
            "address_2": "170 FOURTH AVENUE",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "166460629",
            "telephone_number": "814-247-6583",
            "fax_number": "814-247-8219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 FOURTH AVE",
            "city": "HASTINGS",
            "state": "PA",
            "postal_code": "16646",
            "telephone_number": "814-247-6583",
            "fax_number": "814-247-8219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN CRAWFORD III DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "LAB DIRECTOR",
        "authorized_official_telephone_number": "814-247-6583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PA",
            "license": "022586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005860850001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON LABORATORY",
            "identifier": "84604",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LABORATORY",
            "identifier": "0015339070001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ggnsc Hastings LP (Golden LivingCenter - HAIDA)
• Guardian Elder Care at Hastings LLC (Haida Healthcare and Rehabilitation Center)
• Haida PA Opco LLC (Haida Nursing and Rehab)
• Hastings Area Ambulance Association
• David G Hershberger, MD
• Joseph Rezk (Rezk Medical Supply)
• Keystone Rehabilitation Systems Inc (Keystone Rehabilitation Systems)
• Mark Kopera, DMD
• Regina S Kuncelman, CRNP
• Edward Murray Lanzendorfer, DC

• Clinical Medical Laboratory in Hastings, PA
• Providers in Hastings, PA by specialty
• Clinical Medical Laboratory in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.