Otis Leon Crawford Jr

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OTIS LEON CRAWFORD JR

Practice address

16125 Mack Ave
Detroit, MI 48224-3644

Phone

(313) 469-9034

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Otis Crawford, D.O.

Title

Provider

Phone

(313) 268-5866

Specialties & licenses 2

Addresses

Other names 1

• DOCTORS CREATIVE CARE Doing business as

Locations

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1498435200000",
    "number": "1629425855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16125 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243644",
            "telephone_number": "313-469-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16125 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482243644",
            "telephone_number": "313-469-9034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTIS LEON CRAWFORD JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2017-06-26",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD",
        "authorized_official_first_name": "OTIS",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "313-268-5866",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOCTORS CREATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rebecca Oswald, BSN, RN
• Otd Global. LLC
• Karen Barcenilla Oteyza, M.D.
• Mahmoud Othman, MD
• Otis B. Ferguson III MD PC
• Otto Bock Patient Care, LLC
• Otto Bock Patient Care, LLC
• Sarah E Ottum
• Takahiro Ouchi, MD
• Ahmed Oudeif, MD

• General Practice Physician in Detroit, MI
• Providers in Detroit, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2017; 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.