Kent Crickard, M.D.

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

118383 Issued in NY

Practice address

4510 Main Street
Second Floor
Snyder, NY 14226

Phone

(716) 839-3057

Fax

(716) 839-1477

NPI assigned

Jun 21, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659377018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 MAIN STREET",
            "address_2": "SECOND FLOOR",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-3057",
            "fax_number": "716-839-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 MAIN STREET",
            "address_2": "SECOND FLOOR",
            "city": "SNYDER",
            "state": "NY",
            "postal_code": "14226",
            "telephone_number": "716-839-3057",
            "fax_number": "716-839-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRICKARD",
        "first_name": "KENT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NY",
            "license": "118383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Reproductive Endocrinology Physician in Snyder, NY
• Providers in Snyder, NY by specialty
• Reproductive Endocrinology Physician in New York

• 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.

Verify at the official NPI Registry.