NPIMap

Organization Active NPI

Dr. Adam G. Crouch Inc

Doing business as Diagnostic Medical X-Ray & Imaging

  • Diagnostic Radiology Physician
  • Boardman, OH
National Provider Identifier
1699920744
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
34006305 Issued in OH
Legal business name
DR. ADAM G. CROUCH INC
Doing business as
Diagnostic Medical X-Ray & Imaging
Practice address
8390 Tod Ave
Boardman, OH 44512-6366
Phone
(330) 726-6010
Fax
(330) 726-6017
NPI assigned
Nov 17, 2008
Last updated
Nov 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Adam G Crouch, DONPI 1194833343
Title
President / Owner
Phone
(330) 726-6010

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 34006305 OH Primary

Addresses

Primary practice location

8390 Tod Ave
Boardman, OH 44512-6366

Mailing address

PO Box 3257
Boardman, OH 44513-3257
Phone (330) 726-6010

Other names 1

  • Diagnostic Medical X-Ray & Imaging Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1699920744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3257",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445133257",
            "telephone_number": "330-726-6010",
            "fax_number": "330-726-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8390 TOD AVE",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126366",
            "telephone_number": "330-726-6010",
            "fax_number": "330-726-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. ADAM G. CROUCH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-17",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "330-726-6010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "34006305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Diagnostic Medical X-Ray & Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Boardman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.