NPIMap

Individual provider Active NPI

John Crankshaw, M.D.

  • Internal Medicine Physician
  • Urbana, OH
National Provider Identifier
1457347270
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35086637 Issued in OH
Practice address
1958 E US Highway 36
Urbana, OH 43078-9799
Phone
(937) 652-1834
NPI assigned
Sep 27, 2005
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35086637 OH Primary

Addresses

Primary practice location

1958 E US Highway 36
Urbana, OH 43078-9799

Mailing address

1958 E US Highway 36
Urbana, OH 43078-9799
Phone (937) 652-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000000 OH Practitioner - Internal Medicine 3173553237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Ohio State University College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1958 E US Hwy 36
Urbana, OH 43078-9799
Phone (937) 578-2417

388 Damascus Rd
Marysville, OH 43040-5535
Phone (937) 578-2626

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35086637OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union County Physician Corporation CurrentSince Mar 1, 2012 Accepting new patients
Union County Physician Corporation CurrentSince Mar 1, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Vancrest of Urbana, Inc Past Accepting new patients
Champaign Residential Services, Inc. Past Accepting new patients

Locations

388 Damascus Rd
Marysville, OH 43040
Phone (937) 578-2626

1958 E US Highway 36
Urbana, OH 43078
Phone (937) 652-1834

1958 E US Highway 36
Ste C
Urbana, OH 43078
Phone (937) 652-1834

900 Scioto St
Urbana, OH 43078
Phone (937) 652-1834

Interoperability endpoints

  • Direct secure messaging: admin@memorialprimarycareurbana.e-mdsdirect.com
  • Direct secure messaging: jcrankshaw391765@direct.osumc.edu

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1457347270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 E US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789799",
            "telephone_number": "937-652-1834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1958 E US HIGHWAY 36",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430789799",
            "telephone_number": "937-652-1834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRANKSHAW",
        "first_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35086637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbana, OH

Sources for this page

Verify at the official NPI Registry.