Organization Active NPI

W Boyd Crafton MD Inc

  • Surgery Physician
  • Cincinnati, OH
National Provider Identifier
1578501250
Registry record updated Apr 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35055281C Issued in OH
Legal business name
W BOYD CRAFTON MD INC
Practice address
2123 Auburn Avenue
Suite 242
Cincinnati, OH 45219
Phone
(513) 723-9000
Fax
(513) 723-0455
NPI assigned
Jun 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2014

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

Authorized official

Name
Mrs. Katie Kafel
Title
Practice Manager
Phone
(513) 723-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 35055281C OH Primary

Addresses

Primary practice location

2123 Auburn Avenue
Suite 242
Cincinnati, OH 45219

Mailing address

2123 Auburn Avenue
Suite 242
Cincinnati, OH 45219
Phone (513) 723-9000

Other identifiers 7

IdentifierTypeStateIssuer
000000004576OtherOHANTHEM
64953052OtherKENTUCKY MEDICAID
200002500AMedicaidIN
0052249MedicaidOH
200002530AMedicaidIN
0673623MedicaidOH
200005445OtherRR MEDICARE

Other names 1

  • Drs Bossert Crafton & Novak Inc/ Drs Bossert & Crafton Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

2123 Auburn Ave
Ste 242
Cincinnati, OH 45219
Phone (513) 721-2024

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396396800000",
    "number": "1578501250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVENUE",
            "address_2": "SUITE 242",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-723-9000",
            "fax_number": "513-723-0455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2123 AUBURN AVENUE",
            "address_2": "SUITE 242",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "45219",
            "telephone_number": "513-723-9000",
            "fax_number": "513-723-0455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BOYD CRAFTON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2014-04-02",
        "status": "A",
        "authorized_official_last_name": "KAFEL",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "513-723-9000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35055281C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000004576",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY MEDICAID",
            "identifier": "64953052",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002500A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052249",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200002530A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0673623",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200005445",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Bossert Crafton & Novak Inc/ Drs Bossert & Crafton Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2014; 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.