Individual provider Active NPI

Jonathan Slade Crowder, MD

  • Family Medicine Physician
  • Columbus, IN
National Provider Identifier
1598723959
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01057432A Issued in IN
Practice address
3203 Middle Road
Columbus, IN 47203
Phone
(812) 373-2700
Fax
(812) 373-2710
NPI assigned
May 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01057432A IN Primary

Addresses

Primary practice location

3203 Middle Road
Columbus, IN 47203

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 375-3000

Other identifiers 6

IdentifierTypeStateIssuer
000000984083OtherINANTHEM PIN
P00038722OtherINMEDICARE RAILROAD
200426270AMedicaidIN
000000286084OtherINBLUE CROSS ANTHEM
01057432AOtherININ MEDICAL LICENSE
1407861164OtherGROUP NPI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100330000534 IN Practitioner - Family Practice 8325174261 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Diagnostic Imaging, LLC Current Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Columbus Regional Health Physicians, LLC Family Medicine CurrentSince Jan 1, 2016 Accepting new patients
Major Hospital Past Accepting new patients

Locations

2400 17th St
Columbus, IN 47201
Phone (812) 373-3025

3203 Middle Rd
Columbus, IN 47203
Phone (812) 373-2700

Interoperability endpoints

  • Direct secure messaging: jcrowder7428@edirect.crh.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1598723959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-375-3000",
            "fax_number": "812-375-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 MIDDLE ROAD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "47203",
            "telephone_number": "812-373-2700",
            "fax_number": "812-373-2710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWDER",
        "first_name": "JONATHAN",
        "middle_name": "SLADE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01057432A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000984083",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00038722",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200426270A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ANTHEM",
            "identifier": "000000286084",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IN MEDICAL LICENSE",
            "identifier": "01057432A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1407861164",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.