Melvin Floyd Crispen, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

23992 Issued in KY

Practice address

1 Medical Village Dr
Independent Anesthesiologists PSC
Edgewood, KY 41017

Phone

(859) 341-7246

Fax

(859) 341-7867

NPI assigned

Nov 7, 2005

Last updated

Feb 20, 2008By the provider in NPPES

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Independent Anesthesiologists, PSC

  • Anesthesiology Physician
  • Cincinnati, OH
  • NPI 1588835250
  NPD (past)
• Longmont Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Longmont, CO
  • NPI 1790737914
  NPD (past)

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

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1407837628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 MEDICAL VILLAGE DR",
            "address_2": "STE 258",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-7246",
            "fax_number": "859-341-7867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL VILLAGE DR",
            "address_2": "INDEPENDENT ANESTHESIOLOGISTS PSC",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "41017",
            "telephone_number": "859-341-7246",
            "fax_number": "859-341-7867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISPEN",
        "first_name": "MELVIN",
        "middle_name": "FLOYD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "23992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000371963",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64239924",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHA HEALTH INSURANCE",
            "identifier": "1223596",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Crail, PA-C
• Adam Thomas Crawford, M.D.
• Erica Creech, APRN
• Anna Crider, GC
• Jason T. Crimmins, MD
• Emily Crocetti, PA-C
• Stephanie Cunningham, BCBA
• Kristo Curi, MD
• Constance Marie Curry, OTR/L
• Marc S Curvin, M.D.

• Anesthesiology Physician in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Anesthesiology Physician in Kentucky

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