John C Crick, M.D.

Primary specialty

Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X

License

ME29382 Issued in FL

Practice address

6100 Kennerly Rd
Suite 101
Jacksonville, FL 32216-4368

Phone

(904) 739-0050

Fax

(904) 443-2888

NPI assigned

Sep 1, 2005

Reactivated

Apr 19, 2006

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 5

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hand Surgery

Education

University of Michigan Medical School, 1972

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bahri Orthopedics and Sports Medicine Clinic, P.L.Group PAC ID 8527954510, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Bahri Orthopedics & Sports Medicine Clinic, P.L.

  • Orthopaedic Surgery Physician
  • Jacksonville, FL
  • NPI 1962598623
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1487648770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164368",
            "telephone_number": "904-739-0050",
            "fax_number": "904-443-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 KENNERLY RD",
            "address_2": "SUITE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164368",
            "telephone_number": "904-739-0050",
            "fax_number": "904-443-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICK",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2015-02-19",
        "deactivation_date": "2006-04-13",
        "reactivation_date": "2006-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "ME29382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00473370",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15627",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4007101004",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "211397",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4045147",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aquilla Lynette Cribb
• Carlton Cribb
• Samantha Cribbett, NP
• Kimberly Alford Cribbs
• Jeffery Crick, DO
• Samantha Brooke Crickmore, LM, CPM
• Mary Ellen Crilley, M. ED.
• Frank Crimi, LPN
• Roman Criollo, M.D
• Lori C Crisafulli, M.ED

• Orthopaedic Hand Surgery Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Orthopaedic Hand Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.