Dr. James M Croak, Inc.

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

34-00-6843-C Issued in OH

Legal business name

DR. JAMES M CROAK, INC.

Practice address

28442 E River Rd Ste 111
Perrysburg, OH 43551-2795

Phone

(419) 893-7134

Fax

(419) 893-6942

NPI assigned

Dec 6, 2006

Organization subpart

No

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

Authorized official

Name

Andrew J. Croak, D.O.

Title

Owner

Phone

(419) 893-7134

Specialties & licenses 6

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1487713400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28442 E RIVER RD STE 111",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512795",
            "telephone_number": "419-893-7134",
            "fax_number": "419-893-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28442 E RIVER RD STE 111",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512795",
            "telephone_number": "419-893-7134",
            "fax_number": "419-893-6942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES M CROAK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "CROAK",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-893-7134",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "OH",
            "license": "34-00-6843-C",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "07610-NP",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "OH",
            "license": "NP-01213",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "OH",
            "license": "COA-16001",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2476815",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timi Douvlis
• Amanda Dove, NP-C
• Jon Bruce Dove, D.D.S.
• Down & Hire LLC
• Dr. Adnan Ahmed DDS, Inc.
• Dr. Theodore Bowlus, DPM, Inc.
• Lavinia R Dreier
• Aimee Louise Adray Drescher, PH.D.
• DRS. Detwiler & Gannon, Inc.
• DRS. Kane and Bihn, Inc

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.