John Croasdell, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

01042107A Issued in IN

Practice address

1451 N Gardner St
Phoenix Emergency Services of Scott County, LLC
Scottsburg, IN 47170-7751

Phone

(812) 752-3456

NPI assigned

Jun 5, 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 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  IN

  Medicare reassignment NPD
• Southeastern Emergency Physicians of Memphis LLC

  • Emergency Medicine Physician
  • Alton, IL
  • NPI 1437105277

  Emergency Medicine, IN

  Medicare reassignment NPD
• Phoenix Emergency Services of Scott County LLC

  • Emergency Medicine Physician
  • Scottsburg, IN
  • NPI 1295784379

  Emergency Medicine

  NPD (past)
• Samaritan Behavioral Healthcare

  • Professional Counselor
  • Scottsburg, IN
  • NPI 1245497213
  NPD (past)
• Samaritan Behavioral Healthcare

  • Mental Health Counselor
  • Scottsburg, IN
  • NPI 1689859621
  NPD (past)
• Scott Memorial Hospital

  • Critical Access Hospital
  • Scottsburg, IN
  • NPI 1497883367
  NPD (past)
• Scott Physician Group LLC

  • Orthopaedic Surgery Physician
  • Scottsburg, IN
  • NPI 1952639890
  NPD (past)
• Scottsburg Emergency Services, LLC

  • Nurse Practitioner
  • Scottsburg, IN
  • NPI 1396703062

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203292800000",
    "number": "1497794606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 MALLARD XING",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 N GARDNER ST",
            "address_2": "PHOENIX EMERGENCY SERVICES OF SCOTT COUNTY, LLC",
            "city": "SCOTTSBURG",
            "state": "IN",
            "postal_code": "471707751",
            "telephone_number": "812-752-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROASDELL",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2008-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01042107A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE CORE",
            "identifier": "237840",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cox, FNP
• Craig-West Inc
• Jennifer Mae Craig, MD
• John Howard Craig, P.D.
• Scott E. Craig, DC
• Jamie Lynn Crouse, LCSW
• Lea Cuervo
• Donna M Dalton
• Daviess County Hospital
• Christopher Lee Davis

• All providers in Scottsburg, IN
• Emergency Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2008; 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.

Verify at the official NPI Registry.