Active NPI
Terry A. Crafton, M.D.
- Emergency Medicine Physician
- Russellville, KY
National Provider Identifier
1427155258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 40469
- Practice address
- 1625 Nashville St
Russellville, KY 42276-8853 - Phone
- (270) 725-4770
- NPI assigned
- Sep 20, 2006
- Last updated
- Jul 9, 2007
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01032882 | IN | |
| Emergency Medicine Physician | 207P00000X | 40469 | KY | Primary |
Addresses
Primary practice location
1625 Nashville St
Russellville, KY 42276-8853
Mailing address
450 Tingler Rd E
Richmond, IN 47374-1012
Phone (765) 935-5072
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0600264 | Medicaid | OH | |
| 000000031493 | Other | IN | BLUE SHIELD - REID HOSP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01032882 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reid Hospital & Health Care Services, Inc | Past | Accepting new patients | |
| Logan Emergency Group LLC | Emergency Medicine | Past | Accepting new patients |
| Reid Hospital & Health Care Services Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Reid Health
- Internal Medicine Physician
- Richmond, IN
- NPI 1982633236
-
dba Reid Health
- Anatomic Pathology & Clinical Pathology Physician
- Richmond, IN
- NPI 1437188786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1427155258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 TINGLER RD E",
"city": "RICHMOND",
"state": "IN",
"postal_code": "473741012",
"telephone_number": "765-935-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1625 NASHVILLE ST",
"city": "RUSSELLVILLE",
"state": "KY",
"postal_code": "422768853",
"telephone_number": "270-725-4770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAFTON",
"first_name": "TERRY",
"middle_name": "A.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01032882",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "KY",
"license": "40469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0600264",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD - REID HOSP",
"identifier": "000000031493",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, KY
- Commonwealth Health Corporation, Inc. (Med Center Health Logan Orthopaedics)
- Community Health Centers of Western Kentucky Inc
- Kristen Rebecca Cooper, FNP-C
- Melissa D Corbin
- Rebecca Sue Coursey
- Creekwood Place Nursing & Rehab Center, Inc.
- Creekwood Place Opco LLC (Creekwood Place Nursing & Rehab Center)
- Cumberland Plastic Surgery PLLC
- Darla Sherrod Barrow (Barrow Eye Center)
- David R. Whitley (Whitley's Pharmacy)
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.