Active NPI
Herzog Crawford and Flynn, LLC
Doing business as SCI/D Innovations
- Wound Care Registered Nurse
- Eureka, MO
National Provider Identifier
1710640461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Wound Care Registered Nurse
- Legal business name
- HERZOG CRAWFORD AND FLYNN, LLC
- Doing business as
- SCI/D Innovations
- Practice address
- 730 Enderwood PL
Eureka, MO 63025-1177 - Phone
- (443) 824-4788
- NPI assigned
- Oct 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jahari Malek Crawford Sr.
- Title
- Coo
- Phone
- (443) 824-4788
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Wound Care Registered Nurse | 163WW0000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
730 Enderwood PL
Eureka, MO 63025-1177
Mailing address
101 Thresher Dr Unit 544
Eureka, MO 63025-1985
Other names 1
- SCI/D Innovations
National Provider Directory
National Provider DirectoryLocations
101 Thresher Dr
Unit 544
Eureka, MO 63025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634688000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1634688000000",
"number": "1710640461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 THRESHER DR UNIT 544",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 ENDERWOOD PL",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251177",
"telephone_number": "443-824-4788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERZOG CRAWFORD AND FLYNN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-20",
"last_updated": "2021-10-20",
"certification_date": "2021-10-20",
"status": "A",
"authorized_official_last_name": "CRAWFORD",
"authorized_official_first_name": "JAHARI",
"authorized_official_middle_name": "MALEK",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "443-824-4788",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "163WW0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Wound Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SCI/D Innovations",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Eureka, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.