Individual provider Active NPI

Craig Critchley, DO

  • Family Medicine Physician
  • Troy, OH
National Provider Identifier
1699764837
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34002866C Issued in OH
Practice address
700 S Stanfield Rd
Ste. a
Troy, OH 45373-2372
Phone
(937) 339-5355
Fax
(937) 339-3056
NPI assigned
Oct 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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 34002866C OH Primary

Addresses

Primary practice location

700 S Stanfield Rd
Ste. a
Troy, OH 45373-2372

Mailing address

700 S Stanfield Rd
Ste. a
Troy, OH 45373-2372
Phone (937) 339-5355

Other identifiers 1

IdentifierTypeStateIssuer
0473483MedicaidOH

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ccritchley168262@direct.ketteringhealth.org
FHIR URL https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
34002866COHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Valley Family Care, Inc Family Medicine Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

200 Kienle Dr
Piqua, OH 45356
Phone (937) 339-5355

Organizations & group practices 2

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": "1129766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1699764837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "address_2": "STE. A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S STANFIELD RD",
            "address_2": "STE. A",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732372",
            "telephone_number": "937-339-5355",
            "fax_number": "937-339-3056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRITCHLEY",
        "first_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34002866C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0473483",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccritchley168262@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd",
            "address_2": "Ste. A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732372",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "700 S Stanfield Rd",
            "address_2": "Ste. A",
            "city": "Troy",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453732372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.