James V. Crawford, MD LLC

Primary specialty

Otology & Neurotology PhysicianTaxonomy code 207YX0901X

License

M-14198 Issued in ID

Legal business name

JAMES V. CRAWFORD, MD LLC

Practice address

1209 N Summerbrook Ave Ste 100
Meridian, ID 83642-8750

Phone

(208) 938-5823

Fax

(208) 938-5306

NPI assigned

May 24, 2018

Organization subpart

No

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

Authorized official

Name

James Crawford, MD

Title

Owner

Phone

(208) 938-5823

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Idaho Ear Clinic Doing business as

Locations

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652918400000",
    "number": "1548751563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 N SUMMERBROOK AVE STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428750",
            "telephone_number": "208-938-5823",
            "fax_number": "208-938-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 N SUMMERBROOK AVE STE 100",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428750",
            "telephone_number": "208-938-5823",
            "fax_number": "208-938-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES V. CRAWFORD, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-938-5823",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207YX0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otology & Neurotology",
            "state": "ID",
            "license": "M-14198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005083",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Idaho Ear Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Jacobs
• Michael Craig Jacobson, M.D.
• James H Bates MD PLLC
• James H Morland, MD
• Anna James Krzemieniecki, LCPC, NCC , MS
• Ashlyn Kay James, CPM, LM
• Jaclyn James, RDH
• John James, DPT
• Kyleen Victoria James
• Jacilynn Jangula Cox

• Otology & Neurotology Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Otology & Neurotology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.