Active NPI
Jean Vick Crawford, CST/CSFA
- Surgical Assistant
- Murray, KY
National Provider Identifier
1427308956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- SA012
- Practice address
- 803 Poplar St
Murray, KY 42071-2432 - Phone
- (270) 762-2200
- Fax
- (270) 762-1783
- NPI assigned
- Sep 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | SA012 | KY | Primary |
Addresses
Primary practice location
803 Poplar St
Murray, KY 42071-2432
Mailing address
803 Poplar St
Murray, KY 42071-2432
Phone (270) 762-2200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA012 | KY | MD | Surgical Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1427308956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "803 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712432",
"telephone_number": "270-762-2200",
"fax_number": "270-762-1783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "803 POPLAR ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712432",
"telephone_number": "270-762-2200",
"fax_number": "270-762-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JEAN",
"middle_name": "VICK",
"credential": "CST/CSFA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-12",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "KY",
"license": "SA012",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.