Active NPI
Kenneth Crawford, M.D.
- Anesthesiology Physician
- Baltimore, MD
National Provider Identifier
1386608594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- D0039824
- Practice address
- 2411 W Belvedere Ave
Suite 402
Baltimore, MD 21215-5228 - Phone
- (410) 601-8314
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | D0039824 | MD | Primary |
| Anesthesiology Physician | 207L00000X | MD417178 | PA |
Addresses
Primary practice location
2411 W Belvedere Ave
Suite 402
Baltimore, MD 21215-5228
Mailing address
26 Sunnyview Dr
Phoenix, MD 21131-2033
Phone (443) 850-7891
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0039824 | MD | MD | Anesthesiology Physician |
| MD417178 | PA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Know Pain Clinic, Inc | Past | Accepting new patients | |
| Raleigh Anesthesia Associates, Inc | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Pain Medicine (Anesthesiology) Physician
- Beckley, WV
- NPI 1669438081
-
- Anesthesiology Physician
- Beckley, WV
- NPI 1184680639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260835200000",
"number": "1386608594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 SUNNYVIEW DR",
"city": "PHOENIX",
"state": "MD",
"postal_code": "211312033",
"telephone_number": "443-850-7891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2411 W BELVEDERE AVE",
"address_2": "SUITE 402",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212155228",
"telephone_number": "410-601-8314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "KENNETH",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2009-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "D0039824",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD417178",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.