NPIMap

Organization Active NPI

Philip a. Crooke, M.D., P.C.

  • Specialist
  • Bloomington, IN
National Provider Identifier
1508927245
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1024945 Issued in IN
Legal business name
PHILIP A. CROOKE, M.D., P.C.
Practice address
648 S Walker St
Bloomington, IN 47403-2158
Phone
(812) 331-1810
Fax
(812) 331-1714
NPI assigned
Dec 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Rhea Dawn Buskirk, CMM
Title
Practice Manager
Phone
(812) 331-1810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 1024945 IN Primary

Addresses

Primary practice location

648 S Walker St
Bloomington, IN 47403-2158

Mailing address

648 S Walker St
Bloomington, IN 47403-2158
Phone (812) 331-1810

National Provider Directory

National Provider Directory

Locations

648 S Walker St
Bloomington, IN 47403
Phone (812) 331-1810

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508927245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "648 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032158",
            "telephone_number": "812-331-1810",
            "fax_number": "812-331-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 S WALKER ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474032158",
            "telephone_number": "812-331-1810",
            "fax_number": "812-331-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP A. CROOKE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSKIRK",
        "authorized_official_first_name": "RHEA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "812-331-1810",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMM"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IN",
            "license": "1024945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.