Active NPI
Jeff Crawford, MD
- Family Medicine Physician
- Kearny, AZ
National Provider Identifier
1568685204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18695
- Practice address
- 351 Airport Road
Kearny, AZ 85237-1179 - Phone
- (520) 363-9772
- Fax
- (520) 363-9774
- NPI assigned
- Apr 11, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 18695 | AZ | Primary |
| Family Medicine Physician | 207Q00000X | G53019 | CA | |
| Family Medicine Physician | 207Q00000X | 5268 | MT |
Addresses
Primary practice location
351 Airport Road
Kearny, AZ 85237-1179
Mailing address
PO Box 1179
351 Airport Road
Kearny, AZ 85237-1179
Phone (520) 363-9772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5268 | MT | MD | Pharmacist |
| G53019 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeff Crawford MD PC | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1568685204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1179",
"address_2": "351 AIRPORT ROAD",
"city": "KEARNY",
"state": "AZ",
"postal_code": "852371179",
"telephone_number": "520-363-9772",
"fax_number": "520-363-9774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 AIRPORT ROAD",
"city": "KEARNY",
"state": "AZ",
"postal_code": "852371179",
"telephone_number": "520-363-9772",
"fax_number": "520-363-9774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAWFORD",
"first_name": "JEFF",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "AZ",
"license": "18695",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G53019",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "5268",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kearny, AZ
- Tiffany Danielle Boyd, RN
- Felix J Celis, DDS
- Cobre Valley Regional Medical Center (Cobre Valley Regional Medical Center Kearny Ambulance)
- Cobre Valley Regional Medical Center
- Cobre Valley Regional Medical Center (Kearny Clinic)
- Jeff Crawford MD PC (Jeff Crawford MD)
- Kearny Life Center, LLC
- Debra H Pace, RN
- Laurene Pentelbury, NP
- Pinal County Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.